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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(3):303-308.
Published online May 1, 2008.
Development of Computerized Anthropometric Analysis Model in Cleft Lip Nasal Deformity Using 3D Laser Scanned Facial Cast Model.
Suk Wha Kim, Jong Lim Park, Jae Chan Kim, Seung Hak Baek, Woo Gil Son
1Division of Pediatric Surgery, Seoul National University Children's Hospital, Korea.
2Department of Plastic and Reconstructive Surgery, Seoul National University Boramae Hospital, Korea. jlpark@chol.com
3Department of Orthodontics, School of Dentistry, Seoul National University Dental Hospital, Korea.
4UcanB Plastic Surgery, Seoul, Korea.
Abstract
PURPOSE
The purpose of this study is to develop three-dimensional computerized anthropometry(3DCA) and to compare its reliability and accuracy 3DCA with manual anthropometry(MA) for measurement of lips and nasal deformities in unilateral cleft lips and palate(UCLP) patients. METHODS: Samples were consisted of six UCLP patients whose facial plaster models were available immediately before and 3 months after the cleft lip surgery. MA of the facial plaster models was carried out using an electronic caliper. In 3DCA, three-dimensional auto- measuring program was used to digitize landmarks and to measure three-dimensional virtual facial models (3DVFM), which was generated with a laser scanner and 3D virtual modeling program. Intraclass correlation coefficients(ICC) were calculated to evaluate reliability and reproducibility of the variables in both methods, and Wilcoxon's signed rank test was done to investigate the difference in values of the same variables of facial models of each patient between two methods.
RESULTS
All ICC values were higher than 0.8, so both methods could be considered reliable. Although most variables showed statistical differences between two methods(p<0.05), differences between mean values were very small and could be considered not significant in clinical situation.
CONCLUSION
In clinical situation, 3DCA can be an objective, reliable and accurate tool for evaluation of lips and nasal deformities in the cleft patients.
Keywords: Three dimensional computerized anthropometry; Manual anthropometry; Cleft lip
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