Ayako Mori | PubMed Health

PubMed2006

Three-dimensional computer graphics for surgical procedure learning: Web three-dimensional application for cleft lip repair.

OBJECTIVE: In surgical procedures for cleft lip, surgeons attempt to use various skin incisions and small flaps to achieve a better and more natural shape postoperatively. They must understand the three-dimensional (3D) structure of the lips. However, they may have difficulty learning the surgical procedures precisely from normal textbooks with two-dimensional illustrations. Recent developments in 3D computed tomography (3D-CT) and laser stereolithography have enabled surgeons to visualize the structures of cleft lips from desired viewpoints. However, this method cannot reflect the advantages offered by specific surgical procedures. To solve this problem, we used the benefits offered by 3D computer graphics (3D-CG) and 3D animation. DESIGN AND RESULTS: By using scanning 3D-CT image data of patients with cleft lips, 3D-CG models of the cleft lips were created. Several animations for surgical procedures such as incision designs, rotation of small skin flaps, and sutures were made. This system can recognize the details of an operation procedure clearly from any viewpoint, which cannot be acquired from the usual textbook illustrations. This animation system can be used for developing new skin-flap design, understanding the operational procedure, and using tools in case presentations. The 3D animations can also be uploaded to the World Wide Web for use in teleconferencing.

Cleft Lip↗

PubMed2005

Analysis of 109 Japanese children's lip and nose shapes using 3-dimensional digitizer.

We assessed lip and nose shapes, which played an important role in performance evaluations, before and after cleft lip and nose surgery. We used a noncontact-type semiconductor laser 3-dimensional measurement system on normal Japanese children to obtain 3-dimensional images of noses and lips, which were accurate enough to measure facial shapes. We could rotate these images on the computer, therefore we measured the following points: the distance between the peaks of the Cupid's bow and the width of the labial fissure (frontal view), and the width of the nose and the nasal tip protrusion (basal view). Lip and nose shapes were evaluated for each gender. Additionally, nasolabial angles (NLA) were measured on the lateral views of faces. We classified the morphology of the philtral columns into four types; (1) triangular type, (2) parallel type, (3) concave type, and (4) flat type. We also classified nostril shapes into four types: (1) teardrop type, (2) heart shaped type, (3) round type, and (4) triangular type. We calculated the average of the 3-dimensional coordinate values for each landmark, and created standard facial models of normal Japanese children. Moreover, we invented a new morphological evaluation method before and after cleft lip and nose surgery, using the 3-dimensional data converting and editing software. The method was more feasible to evaluate the assessment cleft lip and nose surgery, by quantifying the surface areas of right and left nostrils and the surface areas of upper and lower vermilions, even now by measuring with the eyes and comparing them.

Anthropometry↗