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Diagnostics
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Oral and Maxillofacial Image Diagnosis 2.0
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Oral and Maxillofacial Image Diagnosis 2.0

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 2844

Special Issue Editors

Prof. Dr. József Piffkó

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Szeged, H-6725 Szeged, Hungary
Interests: complex face and oral cavity injuries; head, neck and oral cavity tumors; developmental deformities; microsurgical reconstructions; implantology
Dr. Agnes Janovszky

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, University of Szeged, Albert Szent-Györgyi Medical Centre, Szeged, Hungary
Interests: experimental microsurgery; microsurgery; fluorescence; aesthetic surgery; oral and maxillofacial surgery; maxillofacial surgery; plastic and reconstructive surgery; temporomandibular joint disorder; medication-related osteonecrosis of the jaw

Special Issue Information

Dear Colleagues, 

All fields of medicine have evolved over the years, where remarkable advances in digitized technology have become an integral part of medical treatment and care. Radiological imaging, computer technology and related virtual planning play a vital role in maxillofacial surgery, where special anatomical features and high esthetic expectation may define surgical procedures and, consequently, treatment outcome and the quality of life of the patients. The appearance of artificial intelligence in medicine may provide further improvement not only in the diagnostics but also in the progress of virtual planning. In summary, the digital revolution in medicine has established the possibility of individualized patient care.

The primary goals of this Special Issue on “Oral and Maxillofacial Image Diagnosis 2.0” are to provide a comprehensive picture on radiological imaging and surgical planning by gathering contributions covering all aspects related to maxillofacial surgery, emphasizing innovative clinical aspects and reviewing new developments. We are looking for original papers and reviews on the progress of diagnostics and imaging in different fields of oral and maxillofacial surgery.

Prof. Dr. József Piffkó
Dr. Agnes Janovszky
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • static and dynamic navigation
  • artificial intelligence in maxillofacial imaging
  • oncology
  • reconstructive surgery
  • virtual planning
  • orthognathic surgery
  • craniofacial trauma
  • craniofacial malformation

Published Papers (4 papers)

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11 pages, 2055 KiB  
Article
Relationship between Skeletal Malocclusion and Radiomorphometric Indices of the Mandible in Long Face Patients
by Giuseppe D’Amato, Maryam Tofangchiha, Nima Sheikhdavoodi, Zahra Mohammadi, Mehdi Ranjbaran, Razieh Jabbarian and Romeo Patini
Diagnostics 2024, 14(5), 459; https://doi.org/10.3390/diagnostics14050459 - 20 Feb 2024
Viewed by 619
Abstract
This study aimed to assess the relationship between skeletal malocclusion and radiomorphometric indices of the mandible in long face patients. This cross-sectional study evaluated 174 lateral cephalograms and panoramic radiographs of long face patients between the ages of 17 and 30 presenting at [...] Read more.
This study aimed to assess the relationship between skeletal malocclusion and radiomorphometric indices of the mandible in long face patients. This cross-sectional study evaluated 174 lateral cephalograms and panoramic radiographs of long face patients between the ages of 17 and 30 presenting at the Orthodontics Department of Qazvin Dental School. The gonial angle, antegonial angle, type of antegonial notch, and depth of antegonial notch were measured bilaterally on panoramic radiographs. The correlation between the radiomorphometric parameters and the type of occlusion was analyzed using one-way ANOVA, independent t-test, Chi-square test, and Fisher’s exact test (alpha = 0.05). The mean size of gonial angle was significantly different among the three classes of occlusion (p = 0.046), while the difference was not significant regarding the antegonial angle size and antegonial notch depth (p > 0.05). An independent t-test showed that the mean sizes of gonial angle (p = 0.026) and antegonial angle (p = 0.036), and the antegonial notch depth (p = 0.046) in males, were significantly greater than the values in females. According to the Chi-square and Fisher’s exact test, the right antegonial notch type was significantly different among the three classes of malocclusion (p = 0.006), while this difference was not significant in the left side (p = 0.318). The right antegonial notch type II was more common in males, while the right antegonial notch type I was more common in females (p = 0.014). According to the results, the indices of gonial angle and type of antegonial notch can be clinically useful for predicting the growth rate of the mandible and designing the appropriate treatment in long face patients. Full article
(This article belongs to the Special Issue Oral and Maxillofacial Image Diagnosis 2.0)
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15 pages, 4244 KiB  
Article
“Air Sign” in Misdiagnosed Mandibular Fractures Based on CT and CBCT Evaluation
by Michał Gontarz, Jakub Bargiel, Krzysztof Gąsiorowski, Tomasz Marecik, Paweł Szczurowski, Jan Zapała and Grażyna Wyszyńska-Pawelec
Diagnostics 2024, 14(4), 362; https://doi.org/10.3390/diagnostics14040362 - 07 Feb 2024
Viewed by 560
Abstract
Background: Diagnostic errors constitute one of the reasons for the improper and often delayed treatment of mandibular fractures. The aim of this study was to present a series of cases involving undiagnosed concomitant secondary fractures in the mandibular body during preoperative diagnostics. Additionally, [...] Read more.
Background: Diagnostic errors constitute one of the reasons for the improper and often delayed treatment of mandibular fractures. The aim of this study was to present a series of cases involving undiagnosed concomitant secondary fractures in the mandibular body during preoperative diagnostics. Additionally, this study aimed to describe the “air sign” as an indirect indicator of a mandibular body fracture. Methods: A retrospective analysis of CT/CBCT scans conducted before surgery was performed on patients misdiagnosed with a mandibular body fracture within a one-year period. Results: Among the 75 patients who underwent surgical treatment for mandibular fractures, mandibular body fractures were missed in 3 cases (4%) before surgery. The analysis of CT/CBCT before surgery revealed the presence of an air collection, termed the “air sign”, in the soft tissue adjacent to each misdiagnosed fracture of the mandibular body. Conclusions: The “air sign” in a CT/CBCT scan may serve as an additional indirect indication of a fracture in the mandibular body. Its presence should prompt the surgeon to conduct a more thorough clinical examination of the patient under general anesthesia after completing the ORIF procedure in order to rule-out additional fractures. Full article
(This article belongs to the Special Issue Oral and Maxillofacial Image Diagnosis 2.0)
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11 pages, 1471 KiB  
Article
Correlation between Tomography Scan Findings and Clinical Presentation and Treatment Outcomes in Patients with Orbital Floor Fractures
by Łukasz Stopa, Wojciech Stopa and Zygmunt Stopa
Diagnostics 2024, 14(3), 245; https://doi.org/10.3390/diagnostics14030245 - 24 Jan 2024
Viewed by 599
Abstract
Background: Orbital floor fractures involve damage to the orbital floor but not the infraorbital margin. Despite intensive research, they remain a controversial topic. The aim of this study was to investigate the relationship between parameters gathered by means of computed tomography (CT), [...] Read more.
Background: Orbital floor fractures involve damage to the orbital floor but not the infraorbital margin. Despite intensive research, they remain a controversial topic. The aim of this study was to investigate the relationship between parameters gathered by means of computed tomography (CT), the clinical presentation, and treatment outcomes, in patients suffering from orbital floor fractures. Methods: Forty patients with orbital floor fractures were included in this study. Information regarding diplopia, impaired ocular mobility, asymmetric eyeball placement, and infraorbital paresis was gathered from the medical records. Nine CT-based parameters were assessed. Two parameters were calculated, based on them. The follow-up data of 30 patients were analyzed. The results were statistically evaluated. The significance level was p < 0.05. Results: Statistical evaluation revealed multiple correlations between CT-based findings, symptoms, and treatment results. Among others, the hernia into the maxillary sinus was significantly larger in patients without improvement in infraorbital paresis (p = 0.0031) and without improvement in assymetric eyeball placement (p = 0.0037). There was no correlation between the entrapment of the rectus inferior muscle and impaired ocular mobility (p = 0.664431; p = 0.420289) and between the direct fracture of the infraorbital canal and infraorbital paresis (p = 0.371102). Conclusions: The widely assumed thesis that impaired ocular mobility in orbital fractures is caused by entrapment of the rectus inferior muscle is disproved by CT-based data. CT-based findings, symptoms, and treatment results in patients with orbital floor fractures were significantly correlated. A large hernia may be a negative prognostic factor. Full article
(This article belongs to the Special Issue Oral and Maxillofacial Image Diagnosis 2.0)
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3 pages, 2938 KiB  
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Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis
by Svetlana Antic, Djurdja Bracanovic, Aleksa Janovic, Goran Krstic, Djordje Plavsic and Biljana Markovic Vasiljkovic
Diagnostics 2024, 14(7), 714; https://doi.org/10.3390/diagnostics14070714 - 28 Mar 2024
Viewed by 462
Abstract
Tessier No. 7 cleft, known as lateral facial cleft, is a rare and understudied entity with an incidence of 1/80,000–1/300,000 live births. Besides perioral tissue abnormalities manifesting as macrostomia, Tessier 7 cleft also involves anomalies of the underlying bony structures. It can appear [...] Read more.
Tessier No. 7 cleft, known as lateral facial cleft, is a rare and understudied entity with an incidence of 1/80,000–1/300,000 live births. Besides perioral tissue abnormalities manifesting as macrostomia, Tessier 7 cleft also involves anomalies of the underlying bony structures. It can appear as part of a syndrome, such as Treacher-Collins syndrome or Goldenhar/Orbito-Auriculo-Vestibular Spectrum, or as an isolated form (unilateral or bilateral) with variable expressions. Bilateral maxillary duplication in Tessier 7 cleft is considered extremely rare, accounting for only two previously presented cases. Given that the cases presented in the literature mainly focus on clinical appearance and surgical treatment, without providing sufficient imaging, we aim to present key radiological features of Tessier 7 cleft in terms of evaluating the involved structures, which is essential for the therapeutic approach and final outcome. A 17-year-old male with incompetent lips and orthodontic abnormalities was referred to our Radiology Department for orthopantomography (OPG) and CT examinations. Hetero-anamnestic data revealed a history of surgical treatment of the commissural cleft conducted 2 months after the birth to enable feeding. Intraoral examination showed a maxillary cleft and supernumerary teeth. Since the given clinical presentation was inconclusive, radiological diagnostics took precedence in elucidating this complex entity. Full article
(This article belongs to the Special Issue Oral and Maxillofacial Image Diagnosis 2.0)
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