Evidence map›Paper›PMID 35320382›Full record

ArticleClinical oral investigations2022

Three-dimensional assessment of facial asymmetry in Class III subjects. Part 1: a retrospective study evaluating postsurgical outcomes.

Deepal Haresh Ajmera, Richard Tai-Chiu Hsung, Pradeep Singh, Natalie Sui Miu Wong, Andy Wai Kan Yeung, Walter Yu Hang Lam, Balvinder S Khambay, Yiu Yan Leung, Min Gu

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. [Research progress of digital occlusion setup in orthognathic surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Deepal Haresh AjmeraDiscipline of Orthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-9570-3136
Richard Tai-Chiu HsungDepartment of Computer Science, Chu Hai College of Higher Education, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-7699-1937
Pradeep SinghDiscipline of Orthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0003-2975-1003
Natalie Sui Miu WongDiscipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.
Andy Wai Kan YeungDepartment of Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0003-3672-357X
Walter Yu Hang LamDiscipline of Prosthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-5530-2645
Balvinder S KhambayDiscipline of Orthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-3474-6965
Yiu Yan LeungDiscipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-7038-3279
Min GuDiscipline of Orthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China. drgumin@hku.hk.ORCID http://orcid.org/0000-0001-6447-9573
Chinese University of Hong Kong · HKUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present study aimed to determine the site and severity of maxillomandibular asymmetry before and after orthognathic surgery in asymmetric patients. MATERIALS AND

methodsPresurgery and postsurgery cone beam computed tomography (CBCT) data of 21 facial asymmetry patients (7 males and 14 females, mean age: 23.0 ± 3.36 years) with soft tissue chin deviation ≥ 3 mm who had undergone bimaxillary surgery were evaluated. Seven midline and twenty bilateral hard tissue landmarks were identified for the evaluation of facial asymmetry and outcomes were assessed against age- and gender-matched control subjects.

resultsIn the asymmetry group, bilateral landmarks exhibited significant deviation in the mandible and midface regions. Before surgery, asymmetry was more severe at the mandibular midline and sites close to it, in the asymmetry group. Bimaxillary surgery proved to be highly effective, with a significant correction of the menton to a clinically normal value (2.90 mm, p < 0.001). After surgery, significant residual asymmetry was observed at the mental foramen (p = 0.001) in the R-L direction. Moreover, significant asymmetry persisted at the sigmoid notch (p = 0.001) in the S-I direction.

conclusionsMandibular midline landmarks and chin peripheral regions contribute significantly to overall facial asymmetry characteristics. Despite significant correction after bimaxillary surgery, asymmetry persisted at several sites, thereby requiring secondary correction. Comprehensive 3D presurgical planning is central for asymmetry correction in a single surgery. CLINICAL RELEVANCE: The present study specifies the location of residual asymmetry sites and advocates the correction of those sites during initial surgery.

Indexed as

Malocclusion, Angle Class IIIOrthognathic Surgical ProceduresAdultCephalometryCone-Beam Computed TomographyFacial AsymmetryFemaleHumansImaging, Three-DimensionalMaleMandibleRetrospective StudiesYoung AdultFacial asymmetryMaxillomandibular asymmetry 3DOrthognathic surgeryThree-dimensional

Identifiers

PMID35320382
PMCPMC9276556
OpenAlexW4220692728

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.