Accuracy of two-dimensional pharyngeal airway space prediction for bimaxillary orthognathic surgery

A volumetric study of mandibular condyles in orthognathic patients by semiautomatic segmentation

Purpose

This study was conducted to elucidate volumetric data of mandibular condyles of orthognathic patients by analyzing cone beam computed tomography images based upon semiautomatic segmentation.

Methods

Cone beam computed tomography images of 87 patients with malocclusions were analyzed in this retrospective study. Patients were between 17 and 53 years old and diagnosed with Angle class I, II, or III malocclusion. By using the validated open-source software “ITK-SNAP,” the volumetric measurements of 174 mandibular condyles were performed. Volumetric analysis was performed according to intra-subject side differences by paired Student t test. In accordance to inter-subject side, gender, age and type of malocclusion differences bivariate analysis and ANOVA were applied.

Results

The mean volume for the right condyle was 1.378 ± 0.447 cm³, with a maximum of 2.379 cm³ and a minimum of 0.121 cm³. The mean volume for the left side was 1.435 ± 0.474 cm³, with a maximum of 3.264 cm³ and a minimum of 0.109 cm³. Bivariate analysis indicated a highly significant inter-subject difference between the volume of the left and right mandibular condyles (p < 0.01). Females had a significantly smaller condyle volume than males (p < 0.05 left condyle; p < 0.01 right condyle).

Conclusion

The fact that shape and volume of mandibular condyles show a high susceptibility to pathological alterations and particularly malocclusions makes a precise knowledge about volumetric changes indispensable. Our results show that significant inter-subject differences in condyle volume could be found with respect to the side and gender. Larger volumes could be assessed for the left condyle and for male patients.