Efficiency evaluation of rapid maxillary expansion treatment on nasal septal deviation using tortuosity ratio from cone-beam computer tomography images

Gokce G., Veli I., Yuce Y. K., Isler Y.

Computer Methods and Programs in Biomedicine, cilt.188, 2020 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 188
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1016/j.cmpb.2019.105260
  • Dergi Adı: Computer Methods and Programs in Biomedicine
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, Applied Science & Technology Source, BIOSIS, Biotechnology Research Abstracts, Compendex, Computer & Applied Sciences, EMBASE, INSPEC, MEDLINE
  • Anahtar Kelimeler: Cone-beam computed tomography, Matlab application, Nasal septal deviation, Rapid maxillary expansion, Tortuosity ratio
  • Marmara Üniversitesi Adresli: Hayır

Özet

Background and objective: This study aims to assess the effect of Rapid Maxillary Expansion (RME) on Nasal Septal Deviation (NSD) changes from three-dimensional (3D) images. Methods: In this study, cone-beam computed tomography (CBCT) images from 15 patients with maxillary constriction (mean age 12 ± 1.6 years) were included. RME treatment with Hyrax appliance was performed in all patients. CBCT scans were taken at three different times; before appliance insertion (T0), after active expansion (T1) and 3 months after appliance insertion (T2). We developed a novel Matlab-based application to quantify NSD based on the tortuosity ratio by dividing the actual length of the septum by the ideal length in the mid-sagittal plane by using this application. Results: Tortuosity ratio (TR) values were found as 1.03 ± 0.03 (T0), 1.02 ± 0.02 (T1), and 1.02 ± 0.02 (T2). Differences of TR values among these groups were evaluated using the statistical method of ANOVA (ANalysis Of VAriance) for repeated measures with the significance level of p ≤. 05. Results showed significant reductions in TR values between T0-T1 (p ≤. 05) and between T0-T2 (p ≤. 05). Nonetheless, a significant difference between T1–T2 was not determined (p >. 05). Conclusions: As a result, we can conclude that the NSD degree is affected by the RME treatment. The developed application can be used for both educational and research purposes.