Influence of Objective Three-Dimensional Measures and Movement Images on Surgeon Treatment Planning for Lip Revision Surgery
Objective To determine whether a systematic evaluation of facial soft tissues of patients with cleft lip and palate, using facial video images and objective three-dimensional measurements of movement, change surgeons' treatment plans for lip revision surgery. Design Prospective longitudinal stu...
Gespeichert in:
| Veröffentlicht in: | The Cleft palate-craniofacial journal 2013-11, Vol.50 (6), p.684-695 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 695 |
|---|---|
| container_issue | 6 |
| container_start_page | 684 |
| container_title | The Cleft palate-craniofacial journal |
| container_volume | 50 |
| creator | Trotman, Carroll-Ann Phillips, Ceib Faraway, Julian J. Hartman, Terry Van Aalst, John A. |
| description | Objective
To determine whether a systematic evaluation of facial soft tissues of patients with cleft lip and palate, using facial video images and objective three-dimensional measurements of movement, change surgeons' treatment plans for lip revision surgery.
Design
Prospective longitudinal study.
Setting
The University of North Carolina School of Dentistry.
Patients, Participants
A group of patients with repaired cleft lip and palate (n =21), a noncleft control group (n = 37), and surgeons experienced in cleft care.
Interventions
Lip revision.
Main Outcome Measures
(1) facial photographic images; (2) facial video images during animations; (3) objective three-dimensional measurements of upper lip movement based on z scores; and (4) objective dynamic and visual three-dimensional measurement of facial soft tissue movement.
Results
With the use of the video images plus objective three-dimensional measures, the operating surgeon changed the problem list of the surgical treatment plan for 86% of the patients (95% confidence interval, 0.64 to 0.97) and the surgical goals for 71% of the patients (95% confidence interval, 0.48 to 0.89). The surgeon group varied in the percentage of patients for whom the problem list was modified, ranging from 24% (95% confidence interval, 8% to 47%) to 48% (95% confidence interval, 26% to 70%) of patients, and the percentage for whom the surgical goals were modified, ranging from 14% (94% confidence interval, 3% to 36%) to 48% (95% confidence interval, 26% to 70%) of patients.
Conclusions
For all surgeons, the additional assessment components of the systematic valuation resulted in a change in clinical decision making for some patients. |
| doi_str_mv | 10.1597/12-191 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3830636</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1597_12-191</sage_id><sourcerecordid>1458513091</sourcerecordid><originalsourceid>FETCH-LOGICAL-c422t-d2b628b814d30c760c1fb4d5867b10137dd1d98f8e54647e09c09a81309f96753</originalsourceid><addsrcrecordid>eNpdkV9rFDEUxYMotlb9CBIQpC-juTOTTOZFkFrtwpaKrs8hk7mzzTKTbJOZhYIf3ky3_59uyPlx7kkOIe-BfQZeV18gz6CGF-QQeMkz4KJ-mc6M80wILg7Imxg3jOUccvmaHOSF5FxU4pD8W7iun9AZpL6jF80GzWh3SFeXATH7bgd00Xqne3qOOk4BI9Wuped-h0ka6WLQ63TnHf0zhTWmuQqoxxvtV6-ds25NOx_o0m7pb9zZ2W3Phuu35FWn-4jvbucR-fvjdHVyli0vfi5Ovi0zU-b5mLV5I3LZSCjbgplKMANdU7ZciqoBBkXVttDWspPIS1FWyGrDai2hYHVXi4oXR-Tr3nc7NQO2JoULulfbYAcdrpXXVj1VnL1Ua79ThSyYKEQyOL41CP5qwjiqwUaDfXog-ikqKLnk8z5I6Mdn6MZPIX3gTM1hClGyRH3aUyb4GAN292GAqblQBbmCG7sPj6PfY3cNPuyLqYhHu57a_AdKfKZh</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1467533640</pqid></control><display><type>article</type><title>Influence of Objective Three-Dimensional Measures and Movement Images on Surgeon Treatment Planning for Lip Revision Surgery</title><source>Access via SAGE</source><source>MEDLINE</source><creator>Trotman, Carroll-Ann ; Phillips, Ceib ; Faraway, Julian J. ; Hartman, Terry ; Van Aalst, John A.</creator><creatorcontrib>Trotman, Carroll-Ann ; Phillips, Ceib ; Faraway, Julian J. ; Hartman, Terry ; Van Aalst, John A.</creatorcontrib><description>Objective
To determine whether a systematic evaluation of facial soft tissues of patients with cleft lip and palate, using facial video images and objective three-dimensional measurements of movement, change surgeons' treatment plans for lip revision surgery.
Design
Prospective longitudinal study.
Setting
The University of North Carolina School of Dentistry.
Patients, Participants
A group of patients with repaired cleft lip and palate (n =21), a noncleft control group (n = 37), and surgeons experienced in cleft care.
Interventions
Lip revision.
Main Outcome Measures
(1) facial photographic images; (2) facial video images during animations; (3) objective three-dimensional measurements of upper lip movement based on z scores; and (4) objective dynamic and visual three-dimensional measurement of facial soft tissue movement.
Results
With the use of the video images plus objective three-dimensional measures, the operating surgeon changed the problem list of the surgical treatment plan for 86% of the patients (95% confidence interval, 0.64 to 0.97) and the surgical goals for 71% of the patients (95% confidence interval, 0.48 to 0.89). The surgeon group varied in the percentage of patients for whom the problem list was modified, ranging from 24% (95% confidence interval, 8% to 47%) to 48% (95% confidence interval, 26% to 70%) of patients, and the percentage for whom the surgical goals were modified, ranging from 14% (94% confidence interval, 3% to 36%) to 48% (95% confidence interval, 26% to 70%) of patients.
Conclusions
For all surgeons, the additional assessment components of the systematic valuation resulted in a change in clinical decision making for some patients.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1597/12-191</identifier><identifier>PMID: 23855676</identifier><identifier>CODEN: CPJOEG</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Cleft Lip - surgery ; Cleft Palate - surgery ; Dentistry ; Humans ; Lip - surgery ; Longitudinal Studies ; Maxillofacial surgery ; Medical imaging ; Medical treatment ; Prospective Studies ; Surgeons ; Tissues</subject><ispartof>The Cleft palate-craniofacial journal, 2013-11, Vol.50 (6), p.684-695</ispartof><rights>2013 American Cleft Palate-Craniofacial Association. All rights reserved</rights><rights>Copyright Allen Press Publishing Services Nov 2013</rights><rights>Copyright 2013 American Cleft Palate-Craniofacial Association 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-d2b628b814d30c760c1fb4d5867b10137dd1d98f8e54647e09c09a81309f96753</citedby><cites>FETCH-LOGICAL-c422t-d2b628b814d30c760c1fb4d5867b10137dd1d98f8e54647e09c09a81309f96753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1597/12-191$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1597/12-191$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,315,782,786,887,21828,27933,27934,43630,43631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23855676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trotman, Carroll-Ann</creatorcontrib><creatorcontrib>Phillips, Ceib</creatorcontrib><creatorcontrib>Faraway, Julian J.</creatorcontrib><creatorcontrib>Hartman, Terry</creatorcontrib><creatorcontrib>Van Aalst, John A.</creatorcontrib><title>Influence of Objective Three-Dimensional Measures and Movement Images on Surgeon Treatment Planning for Lip Revision Surgery</title><title>The Cleft palate-craniofacial journal</title><addtitle>Cleft Palate Craniofac J</addtitle><description>Objective
To determine whether a systematic evaluation of facial soft tissues of patients with cleft lip and palate, using facial video images and objective three-dimensional measurements of movement, change surgeons' treatment plans for lip revision surgery.
Design
Prospective longitudinal study.
Setting
The University of North Carolina School of Dentistry.
Patients, Participants
A group of patients with repaired cleft lip and palate (n =21), a noncleft control group (n = 37), and surgeons experienced in cleft care.
Interventions
Lip revision.
Main Outcome Measures
(1) facial photographic images; (2) facial video images during animations; (3) objective three-dimensional measurements of upper lip movement based on z scores; and (4) objective dynamic and visual three-dimensional measurement of facial soft tissue movement.
Results
With the use of the video images plus objective three-dimensional measures, the operating surgeon changed the problem list of the surgical treatment plan for 86% of the patients (95% confidence interval, 0.64 to 0.97) and the surgical goals for 71% of the patients (95% confidence interval, 0.48 to 0.89). The surgeon group varied in the percentage of patients for whom the problem list was modified, ranging from 24% (95% confidence interval, 8% to 47%) to 48% (95% confidence interval, 26% to 70%) of patients, and the percentage for whom the surgical goals were modified, ranging from 14% (94% confidence interval, 3% to 36%) to 48% (95% confidence interval, 26% to 70%) of patients.
Conclusions
For all surgeons, the additional assessment components of the systematic valuation resulted in a change in clinical decision making for some patients.</description><subject>Cleft Lip - surgery</subject><subject>Cleft Palate - surgery</subject><subject>Dentistry</subject><subject>Humans</subject><subject>Lip - surgery</subject><subject>Longitudinal Studies</subject><subject>Maxillofacial surgery</subject><subject>Medical imaging</subject><subject>Medical treatment</subject><subject>Prospective Studies</subject><subject>Surgeons</subject><subject>Tissues</subject><issn>1055-6656</issn><issn>1545-1569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkV9rFDEUxYMotlb9CBIQpC-juTOTTOZFkFrtwpaKrs8hk7mzzTKTbJOZhYIf3ky3_59uyPlx7kkOIe-BfQZeV18gz6CGF-QQeMkz4KJ-mc6M80wILg7Imxg3jOUccvmaHOSF5FxU4pD8W7iun9AZpL6jF80GzWh3SFeXATH7bgd00Xqne3qOOk4BI9Wuped-h0ka6WLQ63TnHf0zhTWmuQqoxxvtV6-ds25NOx_o0m7pb9zZ2W3Phuu35FWn-4jvbucR-fvjdHVyli0vfi5Ovi0zU-b5mLV5I3LZSCjbgplKMANdU7ZciqoBBkXVttDWspPIS1FWyGrDai2hYHVXi4oXR-Tr3nc7NQO2JoULulfbYAcdrpXXVj1VnL1Ua79ThSyYKEQyOL41CP5qwjiqwUaDfXog-ikqKLnk8z5I6Mdn6MZPIX3gTM1hClGyRH3aUyb4GAN292GAqblQBbmCG7sPj6PfY3cNPuyLqYhHu57a_AdKfKZh</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Trotman, Carroll-Ann</creator><creator>Phillips, Ceib</creator><creator>Faraway, Julian J.</creator><creator>Hartman, Terry</creator><creator>Van Aalst, John A.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M3G</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Influence of Objective Three-Dimensional Measures and Movement Images on Surgeon Treatment Planning for Lip Revision Surgery</title><author>Trotman, Carroll-Ann ; Phillips, Ceib ; Faraway, Julian J. ; Hartman, Terry ; Van Aalst, John A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-d2b628b814d30c760c1fb4d5867b10137dd1d98f8e54647e09c09a81309f96753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Cleft Lip - surgery</topic><topic>Cleft Palate - surgery</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Lip - surgery</topic><topic>Longitudinal Studies</topic><topic>Maxillofacial surgery</topic><topic>Medical imaging</topic><topic>Medical treatment</topic><topic>Prospective Studies</topic><topic>Surgeons</topic><topic>Tissues</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trotman, Carroll-Ann</creatorcontrib><creatorcontrib>Phillips, Ceib</creatorcontrib><creatorcontrib>Faraway, Julian J.</creatorcontrib><creatorcontrib>Hartman, Terry</creatorcontrib><creatorcontrib>Van Aalst, John A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>CBCA Reference & Current Events</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Cleft palate-craniofacial journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trotman, Carroll-Ann</au><au>Phillips, Ceib</au><au>Faraway, Julian J.</au><au>Hartman, Terry</au><au>Van Aalst, John A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Objective Three-Dimensional Measures and Movement Images on Surgeon Treatment Planning for Lip Revision Surgery</atitle><jtitle>The Cleft palate-craniofacial journal</jtitle><addtitle>Cleft Palate Craniofac J</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>50</volume><issue>6</issue><spage>684</spage><epage>695</epage><pages>684-695</pages><issn>1055-6656</issn><eissn>1545-1569</eissn><coden>CPJOEG</coden><abstract>Objective
To determine whether a systematic evaluation of facial soft tissues of patients with cleft lip and palate, using facial video images and objective three-dimensional measurements of movement, change surgeons' treatment plans for lip revision surgery.
Design
Prospective longitudinal study.
Setting
The University of North Carolina School of Dentistry.
Patients, Participants
A group of patients with repaired cleft lip and palate (n =21), a noncleft control group (n = 37), and surgeons experienced in cleft care.
Interventions
Lip revision.
Main Outcome Measures
(1) facial photographic images; (2) facial video images during animations; (3) objective three-dimensional measurements of upper lip movement based on z scores; and (4) objective dynamic and visual three-dimensional measurement of facial soft tissue movement.
Results
With the use of the video images plus objective three-dimensional measures, the operating surgeon changed the problem list of the surgical treatment plan for 86% of the patients (95% confidence interval, 0.64 to 0.97) and the surgical goals for 71% of the patients (95% confidence interval, 0.48 to 0.89). The surgeon group varied in the percentage of patients for whom the problem list was modified, ranging from 24% (95% confidence interval, 8% to 47%) to 48% (95% confidence interval, 26% to 70%) of patients, and the percentage for whom the surgical goals were modified, ranging from 14% (94% confidence interval, 3% to 36%) to 48% (95% confidence interval, 26% to 70%) of patients.
Conclusions
For all surgeons, the additional assessment components of the systematic valuation resulted in a change in clinical decision making for some patients.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23855676</pmid><doi>10.1597/12-191</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1055-6656 |
| ispartof | The Cleft palate-craniofacial journal, 2013-11, Vol.50 (6), p.684-695 |
| issn | 1055-6656 1545-1569 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3830636 |
| source | Access via SAGE; MEDLINE |
| subjects | Cleft Lip - surgery Cleft Palate - surgery Dentistry Humans Lip - surgery Longitudinal Studies Maxillofacial surgery Medical imaging Medical treatment Prospective Studies Surgeons Tissues |
| title | Influence of Objective Three-Dimensional Measures and Movement Images on Surgeon Treatment Planning for Lip Revision Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-02T22%3A08%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Influence%20of%20Objective%20Three-Dimensional%20Measures%20and%20Movement%20Images%20on%20Surgeon%20Treatment%20Planning%20for%20Lip%20Revision%20Surgery&rft.jtitle=The%20Cleft%20palate-craniofacial%20journal&rft.au=Trotman,%20Carroll-Ann&rft.date=2013-11-01&rft.volume=50&rft.issue=6&rft.spage=684&rft.epage=695&rft.pages=684-695&rft.issn=1055-6656&rft.eissn=1545-1569&rft.coden=CPJOEG&rft_id=info:doi/10.1597/12-191&rft_dat=%3Cproquest_pubme%3E1458513091%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1467533640&rft_id=info:pmid/23855676&rft_sage_id=10.1597_12-191&rfr_iscdi=true |