To compare the accuracy of three-dimensional computed tomography (3D-CT) and panoramic radiography in the evaluation of mandibular hypoplasia in patients with hemifacial microsomia (HFM).Design:
Retrospective study of imaging data.Setting:
Images selected from the archives of the University of Tokyo Hospital.Subjects:
Twenty patients with unilateral HFM who had undergone both panoramic radiography and 3D-CT in the same period.Method:
Mandibular deformities were classified according to the Pruzansky classification; eight patients had Grade I deformity and 12 patients had Grade II deformity. Ramus heights were measured on both panoramic radiographs and 3D-CT.Main outcome measures:
Magnification in panoramic radiographs and extent of mandibular asymmetry as estimated by the affected/unaffected side ratio based on two methods were examined. The Pearson product-moment correlation coefficient was used to estimate correlations between parameters.Results:
The magnification of ramus heights on panoramic radiographs showed large variations in Grade II patients. The affected/unaffected side ratio estimated by the two methods showed a strong correlation in Grade I patients (correlation coefficient 0.99;p< .0001). Conversely, a weak correlation was seen in Grade II patients (correlation coefficient 0.77;p= .0036), and affected/unaffected side ratios from panoramic radiographs were both over- and underestimated.Conclusions:
The accuracy of evaluation using panoramic radiography was fairly reliable in Grade I patients. Conversely, accuracy was poor in Grade II patients, and evaluation using 3D-CT seems preferable. The combination of two methods with careful consideration is recommended for clinical applications.