Update in three-dimensional imaging in facial plastic surgery.

Update in three-dimensional imaging in facial plastic surgery.
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DOI:
10.1097/01.moo.0000130578.12441.99
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发表时间:
2004-08-01
影响因子:
1.6
通讯作者:
Larrabee, Wayne F Jr
Larrabee, Wayne F Jr
中科院分区:
医学3区
文献类型:
--
作者:
Honrado, Carlo P;Larrabee, Wayne F Jr

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审查目的:面部整形外科医生一直依赖于术前和术后的分析,法医文件和沟通摄影。面部结构的分析和记录的当前标准已经通过从二维照片或射线照片获得测量和参数来确定。然而,面部和颈部是三维结构,需要在美学、稳定性和功能的约束下在三个平面中进行操作。最近的技术进步使三维成像和分析成为可能。最近的发现:三维图像捕获的能力为观察开辟了新的途径,并提高了分析手术后变化的能力。虽然只有线性的距离,角度和面积可以通过使用二维图像,软组织体积数据和表面形貌也可以准确测量,这可以是在验证患者接受老化的面部或正颌手术的变化有帮助。最近的研究集中在描述的成像技术,测量验证,并创建规范的数据及其在surgery.SUMMARY应用:三维成像和软件系统的可用性提出了新的机会,面部美容外科医生计划,执行,并评估结果的患者接受手术的面部和颈部。
PURPOSE OF REVIEW: Facial plastic surgeons have always relied on photography for preoperative and postoperative analysis, medicolegal documentation, and communication. The current standards for analysis and documentation of facial structures have been determined by obtaining measurements and parameters from two-dimensional photographs or radiographs. However, the face and neck are three-dimensional structures and require manipulation in three planes within the constraints of esthetics, stability, and function. Recent advances in technology have made three-dimensional imaging and analysis possible.RECENT FINDINGS: The ability to capture images in three dimensions has opened up new avenues for observation and has increased the ability to analyze changes after surgery. Whereas only linear distances, angles, and areas can be determined by use of two-dimensional images, soft tissue volumetric data and surface topography can also be measured accurately; this can be helpful in validating changes in patients undergoing aging facial or orthognathic procedures. Recent studies have focused on descriptions of imaging techniques, validation of measurements, and the creation of normative data and its applications in surgery.SUMMARY: The availability of three-dimensional imaging and software systems presents new opportunities for the facial cosmetic surgeon to plan, execute, and assess the outcomes in patients undergoing surgery of the face and neck.