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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Optimizing Hybrid Occlusion in Face-Jaw-Teeth Transplantation: A Preliminary Assessment of Real-Time Cephalometry as Part of the Computer-Assisted Planning and Execution Workstation for Craniomaxillofacial Surgery</title><author><name sortKey="Murphy, Ryan J" sort="Murphy, Ryan J" uniqKey="Murphy R" first="Ryan J." last="Murphy">Ryan J. Murphy</name></author><author><name sortKey="Basafa, Ehsan" sort="Basafa, Ehsan" uniqKey="Basafa E" first="Ehsan" last="Basafa">Ehsan Basafa</name></author><author><name sortKey="Hashemi, Sepehr" sort="Hashemi, Sepehr" uniqKey="Hashemi S" first="Sepehr" last="Hashemi">Sepehr Hashemi</name></author><author><name sortKey="Grant, Gerald T" sort="Grant, Gerald T" uniqKey="Grant G" first="Gerald T." last="Grant">Gerald T. Grant</name></author><author><name sortKey="Liacouras, Peter" sort="Liacouras, Peter" uniqKey="Liacouras P" first="Peter" last="Liacouras">Peter Liacouras</name></author><author><name sortKey="Susarla, Srinivas M" sort="Susarla, Srinivas M" uniqKey="Susarla S" first="Srinivas M." last="Susarla">Srinivas M. Susarla</name></author><author><name sortKey="Otake, Yoshito" sort="Otake, Yoshito" uniqKey="Otake Y" first="Yoshito" last="Otake">Yoshito Otake</name></author><author><name sortKey="Santiago, Gabriel" sort="Santiago, Gabriel" uniqKey="Santiago G" first="Gabriel" last="Santiago">Gabriel Santiago</name></author><author><name sortKey="Armand, Mehran" sort="Armand, Mehran" uniqKey="Armand M" first="Mehran" last="Armand">Mehran Armand</name></author><author><name sortKey="Gordon, Chad R" sort="Gordon, Chad R" uniqKey="Gordon C" first="Chad R." last="Gordon">Chad R. Gordon</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26218382</idno><idno type="pmc">4758939</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4758939</idno><idno type="RBID">PMC:4758939</idno><idno type="doi">10.1097/PRS.0000000000001455</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002673</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002673</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Optimizing Hybrid Occlusion in Face-Jaw-Teeth Transplantation: A Preliminary Assessment of Real-Time Cephalometry as Part of the Computer-Assisted Planning and Execution Workstation for Craniomaxillofacial Surgery</title><author><name sortKey="Murphy, Ryan J" sort="Murphy, Ryan J" uniqKey="Murphy R" first="Ryan J." last="Murphy">Ryan J. Murphy</name></author><author><name sortKey="Basafa, Ehsan" sort="Basafa, Ehsan" uniqKey="Basafa E" first="Ehsan" last="Basafa">Ehsan Basafa</name></author><author><name sortKey="Hashemi, Sepehr" sort="Hashemi, Sepehr" uniqKey="Hashemi S" first="Sepehr" last="Hashemi">Sepehr Hashemi</name></author><author><name sortKey="Grant, Gerald T" sort="Grant, Gerald T" uniqKey="Grant G" first="Gerald T." last="Grant">Gerald T. Grant</name></author><author><name sortKey="Liacouras, Peter" sort="Liacouras, Peter" uniqKey="Liacouras P" first="Peter" last="Liacouras">Peter Liacouras</name></author><author><name sortKey="Susarla, Srinivas M" sort="Susarla, Srinivas M" uniqKey="Susarla S" first="Srinivas M." last="Susarla">Srinivas M. Susarla</name></author><author><name sortKey="Otake, Yoshito" sort="Otake, Yoshito" uniqKey="Otake Y" first="Yoshito" last="Otake">Yoshito Otake</name></author><author><name sortKey="Santiago, Gabriel" sort="Santiago, Gabriel" uniqKey="Santiago G" first="Gabriel" last="Santiago">Gabriel Santiago</name></author><author><name sortKey="Armand, Mehran" sort="Armand, Mehran" uniqKey="Armand M" first="Mehran" last="Armand">Mehran Armand</name></author><author><name sortKey="Gordon, Chad R" sort="Gordon, Chad R" uniqKey="Gordon C" first="Chad R." last="Gordon">Chad R. Gordon</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="ISSN">0032-1052</idno><idno type="eISSN">1529-4242</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">The aesthetic and functional outcomes surrounding Le Fort–based, face-jaw-teeth transplantation have been suboptimal, often leading to posttransplant class II/III skeletal profiles, palatal defects, and “hybrid malocclusion.” Therefore, a novel technology—real-time cephalometry—was developed to provide the surgical team instantaneous, intraoperative knowledge of three-dimensional dentoskeletal parameters.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Mock face-jaw-teeth transplantation operations were performed on plastic and cadaveric human donor/recipient pairs (<italic>n</italic> = 2). Preoperatively, cephalometric landmarks were identified on donor/recipient skeletons using segmented computed tomographic scans. The computer-assisted planning and execution workstation tracked the position of the donor face-jaw-teeth segment in real time during the placement/inset onto recipient, reporting pertinent hybrid cephalometric parameters from any movement of donor tissue. The intraoperative data measured through real-time cephalometry were compared to posttransplant measurements for accuracy assessment. In addition, posttransplant cephalometric relationships were compared to planned outcomes to determine face-jaw-teeth transplantation success.</p></sec><sec id="S3"><title>Results</title><p id="P3">Compared with postoperative data, the real-time cephalometry–calculated intraoperative measurement errors were 1.37 ± 1.11 mm and 0.45 ± 0.28 degrees for the plastic skull and 2.99 ± 2.24 mm and 2.63 ± 1.33 degrees for the human cadaver experiments. These results were comparable to the posttransplant relations to planned outcome (human cadaver experiment, 1.39 ± 1.81 mm and 2.18 ± 1.88 degrees; plastic skull experiment, 1.06 ± 0.63 mm and 0.53 ± 0.39 degrees).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Based on this preliminary testing, real-time cephalometry may be a valuable adjunct for adjusting and measuring “hybrid occlusion” in face-jaw-teeth transplantation and other orthognathic surgical procedures.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">1306050</journal-id><journal-id journal-id-type="pubmed-jr-id">6482</journal-id><journal-id journal-id-type="nlm-ta">Plast Reconstr Surg</journal-id><journal-id journal-id-type="iso-abbrev">Plast. Reconstr. Surg.</journal-id><journal-title-group><journal-title>Plastic and reconstructive surgery</journal-title></journal-title-group><issn pub-type="ppub">0032-1052</issn><issn pub-type="epub">1529-4242</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26218382</article-id><article-id pub-id-type="pmc">4758939</article-id><article-id pub-id-type="doi">10.1097/PRS.0000000000001455</article-id><article-id pub-id-type="manuscript">NIHMS758346</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Optimizing Hybrid Occlusion in Face-Jaw-Teeth Transplantation: A Preliminary Assessment of Real-Time Cephalometry as Part of the Computer-Assisted Planning and Execution Workstation for Craniomaxillofacial Surgery</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Murphy</surname><given-names>Ryan J.</given-names></name><degrees>Ph.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Basafa</surname><given-names>Ehsan</given-names></name><degrees>Ph.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Hashemi</surname><given-names>Sepehr</given-names></name><degrees>B.S.</degrees></contrib><contrib contrib-type="author"><name><surname>Grant</surname><given-names>Gerald T.</given-names></name><degrees>D.M.D., M.S.</degrees></contrib><contrib contrib-type="author"><name><surname>Liacouras</surname><given-names>Peter</given-names></name><degrees>Ph.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Susarla</surname><given-names>Srinivas M.</given-names></name><degrees>D.M.D., M.D., M.P.H.</degrees></contrib><contrib contrib-type="author"><name><surname>Otake</surname><given-names>Yoshito</given-names></name><degrees>Ph.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Santiago</surname><given-names>Gabriel</given-names></name><degrees>M.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Armand</surname><given-names>Mehran</given-names></name><degrees>Ph.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Gordon</surname><given-names>Chad R.</given-names></name><degrees>D.O., F.A.C.S.</degrees><email>cgordon@jhmi.edu</email></contrib><aff id="A1">Johns Hopkins University Applied Physics Laboratory; the Department of Mechanical Engineering, Johns Hopkins University; the Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine; JHOC, no. 8152, 601 North Caroline Street, Baltimore, Md. 21287, Craniofacial Imaging, Naval Postgraduate Dental School, 3D Medical Center, and the Department of Ear, Nose, and Throat–Head and Neck Surgery, Walter Reed National Medical Center; and Harvard School of Dental Medicine/Harvard Medical School</aff></contrib-group><pub-date pub-type="nihms-submitted"><day>12</day><month>2</month><year>2016</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>18</day><month>2</month><year>2016</year></pub-date><volume>136</volume><issue>2</issue><fpage>350</fpage><lpage>362</lpage><pmc-comment>elocation-id from pubmed: 10.1097/PRS.0000000000001455</pmc-comment>
<abstract><sec id="S1"><title>Background</title><p id="P1">The aesthetic and functional outcomes surrounding Le Fort–based, face-jaw-teeth transplantation have been suboptimal, often leading to posttransplant class II/III skeletal profiles, palatal defects, and “hybrid malocclusion.” Therefore, a novel technology—real-time cephalometry—was developed to provide the surgical team instantaneous, intraoperative knowledge of three-dimensional dentoskeletal parameters.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Mock face-jaw-teeth transplantation operations were performed on plastic and cadaveric human donor/recipient pairs (<italic>n</italic> = 2). Preoperatively, cephalometric landmarks were identified on donor/recipient skeletons using segmented computed tomographic scans. The computer-assisted planning and execution workstation tracked the position of the donor face-jaw-teeth segment in real time during the placement/inset onto recipient, reporting pertinent hybrid cephalometric parameters from any movement of donor tissue. The intraoperative data measured through real-time cephalometry were compared to posttransplant measurements for accuracy assessment. In addition, posttransplant cephalometric relationships were compared to planned outcomes to determine face-jaw-teeth transplantation success.</p></sec><sec id="S3"><title>Results</title><p id="P3">Compared with postoperative data, the real-time cephalometry–calculated intraoperative measurement errors were 1.37 ± 1.11 mm and 0.45 ± 0.28 degrees for the plastic skull and 2.99 ± 2.24 mm and 2.63 ± 1.33 degrees for the human cadaver experiments. These results were comparable to the posttransplant relations to planned outcome (human cadaver experiment, 1.39 ± 1.81 mm and 2.18 ± 1.88 degrees; plastic skull experiment, 1.06 ± 0.63 mm and 0.53 ± 0.39 degrees).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Based on this preliminary testing, real-time cephalometry may be a valuable adjunct for adjusting and measuring “hybrid occlusion” in face-jaw-teeth transplantation and other orthognathic surgical procedures.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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