Evaluation of mandibular hypoplasia in patients with hemifacial microsomia: a comparison between panoramic radiography and three-dimensional computed tomography.
OBJECTIVE
To compare the accuracy of three-dimensional computed tomography (3D-CT) and panoramic radiography in the evaluation of mandibular hypoplasia in patients with hemifacial microsomia (HFM).


METHODS
Retrospective study of imaging data. Setting : Images selected from the archives of the University of Tokyo Hospital.


METHODS
Twenty patients with unilateral HFM who had undergone both panoramic radiography and 3D-CT in the same period.


METHODS
Mandibular deformities were classified according to the Pruzansky classification; eight patients had Grade I deformity and 12 patients had Grade II deformity. Ramus heights were measured on both panoramic radiographs and 3D-CT.


METHODS
Magnification in panoramic radiographs and extent of mandibular asymmetry as estimated by the affected/unaffected side ratio based on two methods were examined. The Pearson product-moment correlation coefficient was used to estimate correlations between parameters.


RESULTS
The magnification of ramus heights on panoramic radiographs showed large variations in Grade II patients. The affected/unaffected side ratio estimated by the two methods showed a strong correlation in Grade I patients (correlation coefficient 0.99; p < .0001). Conversely, a weak correlation was seen in Grade II patients (correlation coefficient 0.77; p  =  .0036), and affected/unaffected side ratios from panoramic radiographs were both over- and underestimated.


CONCLUSIONS
The accuracy of evaluation using panoramic radiography was fairly reliable in Grade I patients. Conversely, accuracy was poor in Grade II patients, and evaluation using 3D-CT seems preferable. The combination of two methods with careful consideration is recommended for clinical applications.
Naoko
N
Takahashi-Ichikawa
Takafumi
T
Susami
Kouhei
K
Nagahama
Kazumi
K
Ohkubo
Mari
M
Okayasu
Nasuko
N
Uchino
Kiwako
K
Uwatoko
Hideto
H
Saijo
Yoshiyuki
Y
Mori
Tsuyoshi
T
Takato
D005146:Facial Asymmetry; D005147:Facial Bones; D006053:Goldenhar Syndrome; D006801:Humans; D008334:Mandible / Q000002:abnormalities; D011862:Radiography, Panoramic; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed