北京大学学报(医学版) ›› 2019, Vol. 51 ›› Issue (5): 937-943. doi: 10.19723/j.issn.1671-167X.2019.05.024
摘要:
目的:比较在三维影像选取双侧耳点和双侧眶下点构建的不同水平面之间差异,分析不同水平面对双侧耳点和双侧眶下点位置的影响,为颅面部三维头影测量水平参考平面的确定提供依据。方法:选取32名正畸治疗前面部基本对称患者(颏下点离正中矢状面≤2 mm), 获取DICOM格式的大视野锥形束CT数据并导入到Dolphin软件,将鼻根点、蝶鞍点和枢椎齿突最高点构建正中矢状面,测量双侧耳点和双侧眶下点中随机三点构建的4种水平参考平面。分别定义为,平面1:水平面由右侧耳点和双侧眶下点构成;平面2:水平面由左侧耳点和双侧眶下点构成;平面3:水平面由双侧耳点与右侧眶下点构成;平面4:水平面由双侧耳点与左侧眶点构成。记录4个平面在三维空间当中的俯仰角、侧偏角和横滚角。间隔两周,一位研究者进行两次测量。计算组间相关系数(interclass correlation coefficient,ICC)比较两次测量结果的一致性,检验测量者自身的可靠性,进行单因素重复测量方差分析检验组内4个平面之间的差异,按年龄分为13~17岁组和≥18岁组。以枢椎齿突最高点为原点计算双侧耳点和双侧眶下点位置,应用圆周长公式分析头部转动对双侧耳点和双侧眶下点的影响。结果:单因素重复测量方差分析结果显示,不同三点构建的4种平面之间俯仰角、侧偏角和横滚角差异均无统计学意义(P=0.196、0.314、0.341)。头位转动对双侧耳点和双侧眶下点的影响分析结果为:1°俯仰角变化产生耳点约0.5 mm、眶下点约1.6 mm的变化;1°侧偏角变化产生耳点约1.1 mm、眶下点约1.5 mm的变化;1°横滚角变化产生耳点约1.2 mm、眶下点约0.7 mm的变化。结论:对于面部基本对称个体,应用三维头颅影像对双侧耳点和双侧眶下点中随机选取三个点构建的4种水平面之间差异无统计学意义;以双侧眶下点和右侧耳点构建的水平面可能最适合临床使用;头部不同方向的转动使双侧耳点和双侧眶下点产生不同位置的变化。
中图分类号:
[1] | Proffit WR . Contemporary orthodontics[M]. 5th ed. St.Louis: Elsevier, 2013: 134-137. |
[2] | Jacobson A . Radiographic cephalometry: from basics to 3-D imaging[M]. 2nd ed. Chicago: Quintessence Pub, 2006: 153-160. |
[3] | Moorrees CFA, Kean MR . Natural head position, a basic consi-deration in the interpretation of cephalometric radiographs[J]. Am J Phys Anthropol, 1958,16(2):213-234. |
[4] | Finlay LM . Craniometry and cephalometry: a history prior to the advent of radiography[J]. Angle Orthod, 1980,50(4):312-321. |
[5] | Downs WB . Analysis of the dentofacial profile[J]. Angle Orthod, 1956,26(4):191-212. |
[6] | Zebeib AM, Naini FB . Variability of the inclination of anatomic horizontal reference planes of the craniofacial complex in relation to the true horizontal line in orthognathic patients[J]. Am J Orthod Dentofacial Orthop, 2014,146(6):740-747. |
[7] | Barbera AL, Sampson WJ, Townsend GC . Variation in natural head position and establishing corrected head position[J]. Homo, 2014,65(3):187-200. |
[8] | Hsung T, Lo J, Li T , et al. Automatic detection and reproduction of natural head position in stereo-photogrammetry[J]. PLoS One, 2015,10(6):e130877. |
[9] | Kovacs L, Zimmermann A, Brockmann G , et al. Three-dimensional recording of the human face with a 3D laser scanner[J]. J Plast Reconstr Aesthet Surg, 2006,59(11):1193-1202. |
[10] | Xia JJ, McGrory JK, Gateno J, et al. A new method to orient 3-dimensional computed tomography models to the natural head position: a clinical feasibility study[J]. J Oral Maxillofac Surg, 2011,69(3):584-591. |
[11] | Tian K, Li Q, Wang X , et al. Reproducibility of natural head position in normal Chinese people[J]. Am J Orthod Dentofacial Orthop, 2015,148(3):503-510. |
[12] | Damstra J, Fourie Z, DeWit M, et al. A three-dimensional comparison of a morphometric and conventional cephalometric mid-sagittal planes for craniofacial asymmetry[J]. Clin Oral Investig, 2012,16(1):285-294. |
[13] | Lee JK, Jung PK, Moon CH . Three-dimensional cone beam computed tomographic image reorientation using soft tissues as reference for facial asymmetry diagnosis[J]. Angle Orthod, 2014,84(1):38-47. |
[14] | Oh S, Kim CY, Hong J . A comparative study between data obtained from conventional lateral cephalometry and reconstructed three-dimensional computed tomography images[J]. J Korean Assoc Oral Maxillofac Surg, 2014,40(3):123-129. |
[15] | Severt TR, Proffit WR . The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina[J]. Int J Adult Orthodon Orthognath Surg, 1997,12(3):171-176. |
[16] | Steiner C . Cephalometrics for you and me[J]. Am J Orthod, 1953,39(10):729-755. |
[17] | Steiner C . Cephalometrics in clinical practice[J]. Angle Orthod, 1959,29(1):8-29. |
[18] | Steiner C . The use of cephalometrics as an aid to planning and assessing orthodontic treatment[J]. Am J Orthod, 1960,46(10):721-735. |
[19] | Kim MS, Lee EJ, Song IJ , et al. The location of midfacial landmarks according to the method of establishing the midsagittal reference plane in three-dimensional computed tomography analysis of facial asymmetry[J]. Imaging Sci Dent, 2015,45(4):227. |
[20] | Kim HJ, Kim BC, Kim JG , et al. Construction and validation of the midsagittal reference plane based on the skull base symmetry for three-dimensional cephalometric craniofacial analysis[J]. J Craniofac Surg, 2014,25(2):338-342. |
[21] | Xiong Y, Zhao Y, Yang H , et al. Comparison between interactive closest point and procrustes analysis for determining the median sagittal plane of three-dimensional facial data[J]. J Craniofac Surg, 2016,27(2):441-444. |
[22] |
王斯维, 黎敏, 杨慧芳 , 等. 3种生成大视野锥形束CT数据正中矢状面方法的比较[J]. 北京大学学报(医学版), 2016,48(2):330-335.
doi: 10.3969/j.issn.1671-167X.2016.02.028 |
[23] | Lim YK, Chu EH, Lee DY , et al. Three-dimensional evaluation of soft tissue change gradients after mandibular setback surgery in skeletal class Ⅲ malocclusion[J]. Angle Orthod, 2010,80(5):896-903. |
[24] | Kim MG, Lee JW, Cha KS , et al. Three-dimensional symmetry and parallelism of the skeletal and soft-tissue poria in patients with facial asymmetry[J]. Korean J Orthod, 2014,44(2):62-68. |
[1] | 吕梁,张铭津,温奧楠,赵一姣,王勇,李晶,杨庚辰,柳大为. 应用三维软组织空间线角模板法评价颏部对称性[J]. 北京大学学报(医学版), 2024, 56(1): 106-110. |
[2] | 毛渤淳,田雅婧,王雪东,李晶,周彦恒. 骨性Ⅱ类高角患者拔牙矫治前后的面部软硬组织变化[J]. 北京大学学报(医学版), 2024, 56(1): 111-119. |
[3] | 潘孟乔,刘建,徐莉,徐筱,侯建霞,李小彤,王晓霞. 牙周-正畸-正颌联合治疗骨性安氏Ⅲ类错 |
[4] | 付玉,胡鑫浓,崔圣洁,施捷. 骨性Ⅱ类高角错 |
[5] | 林久祥,陈莉莉,韩冰,陈斯,孙燕楠,刘晓默,张杰铌. 健康正畸为本 美学正畸为鉴——健康矫治理念的构建与传动矫治技术研发应用[J]. 北京大学学报(医学版), 2022, 54(5): 837-841. |
[6] | 高娟,吕航苗,马慧敏,赵一姣,李小彤. 锥形束CT三维体积测量评估骨性Ⅲ类错 |
[7] | 刘伟涛,王怡然,王雪东,周彦恒. 锥形束CT研究上颌反复扩缩前方牵引后上颌骨缝的三维变化[J]. 北京大学学报(医学版), 2022, 54(2): 346-355. |
[8] | 梁炜,汤瑶,黄文斌,韩冰,林久祥. 上磨牙颊侧微种植体支抗在安氏Ⅱ类正畸减数拔牙患者垂直向控制中的作用[J]. 北京大学学报(医学版), 2022, 54(2): 340-345. |
[9] | 杨雨卉,黄一平,李巍然. 骨皮质切开加速正畸牙齿移动对牙根吸收的影响[J]. 北京大学学报(医学版), 2021, 53(2): 434-437. |
[10] | 高璐,谷岩. 中国人群腭中缝形态特点分期与Demirjian牙龄的相关性[J]. 北京大学学报(医学版), 2021, 53(1): 133-138. |
[11] | 周境,刘怡. 不同垂直骨面型骨性Ⅱ类青少年女性颞下颌关节锥形束CT测量分析[J]. 北京大学学报(医学版), 2021, 53(1): 109-119. |
[12] | 杜仁杰,焦剑,周彦恒,施捷. 侵袭性牙周炎患者正畸前后的咬合变化[J]. 北京大学学报(医学版), 2019, 51(5): 919-924. |
[13] | 王高南,焦剑,周彦恒,施捷. 正畸牙齿位置的移动对角化龈宽度的影响[J]. 北京大学学报(医学版), 2019, 51(5): 931-936. |
[14] | 王秀婧,张怡美,周彦恒. 骨性Ⅲ类错牙合畸形患者正畸-正颌联合治疗的稳定性[J]. 北京大学学报(医学版), 2019, 51(1): 86-92. |
[15] | 王怡然,周彦恒,王雪东,魏松,刘伟涛. 上颌反复扩缩前方牵引三维变化的锥形束CT分析[J]. 北京大学学报(医学版), 2018, 50(4): 685-693. |
|