フクナガ　ユタカ   Yutaka Fukunaga   福永　豊    所属   川崎医科大学  医学部 臨床医学　形成外科学    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Evaluation of aesthetic outcomes of mandibular reconstruction using artificial intelligence.
掲載誌名	正式名：Head & neck 略　 称：Head Neck ISSNコード：10970347/10433074
掲載区分	国外
巻・号・頁	46(11),pp.2699-2708
著者・共著者	Takeaki Hidaka, Shimpei Miyamoto, Kiichi Furuse, Yutaka Fukunaga, Azusa Oshima, Kazuto Matsuura, Takuya Higashino
発行年月	2024/11
概要	BACKGROUND:Although vascularized bone graft (VBG) transfer is the current standard for mandibular reconstruction, reconstruction with a mandibular reconstruction plate (MRP) and with a soft-tissue flap (STF) alone remain crucial options for patients with poor general conditions. However, objective aesthetic outcome evaluations for these methods are limited.METHODS:In a retrospective analysis of 65 patients (VBG, 33; MRP, 19; and STF, 13), mandibular asymmetry value was calculated for each patient's photograph using facial recognition AI, with a higher value indicating worse asymmetry.RESULTS:The MRP group had a value comparable to the VBG group regardless of mandibular defect types. The STF group had a significantly higher value than the VBG group.CONCLUSIONS:Regarding cosmesis, STF was inferior to VBG, whereas MRP was comparable to VBG, even for anterior defects for which rigid reconstruction is mandatory. However, MRP's risks of plate-related complications limit its use to cases where VBG is contraindicated or with poor prognosis.
DOI	10.1002/hed.27797
PMID	38698733