A three-dimensional evaluation of postoperative swelling following orthognathic surgery at 6 months.
BACKGROUND
Advances in three-dimensional technology have enabled applications for the clinical setting to be created and used in routine diagnosis, treatment planning, and patient education. The objectives of this prospective clinical trial were to determine the volume changes associated with facial swelling following orthognathic surgery.


METHODS
Twelve subjects requiring orthognathic surgery were recruited for the study. Laser scanned images of the subjects were obtained under a reproducible, controlled environment with two laser-scanning devices assembled as a stereo pair. Three-dimensional laser scans were recorded over six time periods, as follows: T1, presurgical scan; T2, 1 day postoperatively; T3, 1 week postoperatively; T4, 1 month postoperatively; T5, 3 months postoperatively; and T6, 6 months postoperatively.


RESULTS
The results showed a clinical difference in the mean shell deviations between bimaxillary and single-jaw orthognathic surgery. Furthermore, the results suggest that the mean volume of swelling was reduced by approximately 60 percent within the first month after surgery. Finally, the amounts of swelling following surgery were greater in bimaxillary cases. The recovery in the swelling was also faster in this group of patients.


CONCLUSIONS
Three-dimensional imaging has opened up new avenues of patient care and treatment evaluation. The results have shown that the laser scanning device and the method described are a reliable and accurate measure of facial swelling following surgery.
Kau
Chung How
CH
Heath Park, Cardiff, United Kingdom From the Department of Dental Health and Biological Sciences, Wales College of Medicine; the Department of Biology, Life, and Health Sciences, Cardiff University; and the Department of Oral and Maxillofacial Surgery, Cardiff and Vale NHS Trust, University Hospital of Wales.
Cronin
Andrew James
AJ
Richmond
Stephen
S
D000328:Adult; D004487:Edema / Q000175:diagnosis*; D005145:Face; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007834:Lasers; D008297:Male; D019647:Oral Surgical Procedures; D056948:Orthognathic Surgical Procedures; D011446:Prospective Studies; D013997:Time Factors