Quantitative Assessment of Facial Asymmetry Using Three-Dimensional Surface Imaging in Adults: Validating the Precision and Repeatability of a Global Approach

Cleft Palate-Craniofacial Journal - Tập 53 Số 1 - Trang 126-131 - 2016
Davida Kornreich1, Adele A. Mitchell2, Bryn D. Webb3, Ingrid Cristian4,5, Ethylin Wang Jabs3
1Internal Medicine, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York
2Merck Research Laboratories, Boston, Massachusetts
3Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York
4Department of Clinical Sciences, Florida State University College of Medicine, Orlando, Florida
5Nemours Children's Hospital, Assistant Professor, Pediatrics, College of Medicine, University of Central Florida

Tóm tắt

Objective

Comparison of global versus landmark analyses of facial asymmetry using three-dimensional photogrammetry to establish a precise method for evaluating facial asymmetry.

Design

The landmark-based approach utilized anthropometric data points. Our global approach involved registration of mirror images, independent of a midplane, to calculate a root mean square (RMS) value. We analyzed precision and technical and operator error of both methods.

Participants

Three hundred fifty adults participated in this study.

Results

We found that the global method has better precision and repeatability with a significantly lower error rate than the landmark-based method. In adults, the average RMS was 0.6253 mm with a standard deviation of 0.16.

Conclusions

Our facial asymmetry measurement is more accurate than landmark-based measurements. This method is quick, reliable, and results in generation of a RMS score and a corresponding color-coded facial map that highlights regions of higher and lower asymmetry. This method may be used as a screening tool for asymmetry in both the clinical and research settings.

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