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3D morphological change of skull base and fronto-temporal soft-tissue in the patients with unicoronal craniosynostosis after fronto-orbital advancement

Yang, Bin ; Ni, Jian ; Li, Binghang

Child's nervous system, 2018-05, Vol.34 (5), p.947-955 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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  • Título:
    3D morphological change of skull base and fronto-temporal soft-tissue in the patients with unicoronal craniosynostosis after fronto-orbital advancement
  • Autor: Yang, Bin ; Ni, Jian ; Li, Binghang
  • Assuntos: Child ; Child, Preschool ; Craniosynostoses - complications ; Craniosynostoses - diagnostic imaging ; Female ; Frontal Bone - diagnostic imaging ; Humans ; Imaging, Three-Dimensional ; Infant ; Male ; Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Orbit - diagnostic imaging ; Original Paper ; Reconstructive Surgical Procedures ; Skull Base - diagnostic imaging ; Skull Base - pathology ; Soft Tissue Injuries - diagnostic imaging ; Soft Tissue Injuries - etiology ; Tomography Scanners, X-Ray Computed
  • É parte de: Child's nervous system, 2018-05, Vol.34 (5), p.947-955
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: Purpose This study aims to comprehensively evaluate the deformation of the skull base and fronto-temporal soft tissue in the patients with anterior plagiocephaly over 1 year of age by three-dimensional (3D) imaging after fronto-orbital advancement (FOA). Methods We quantitatively analyzed the surgical results and outcome of FOA performed in 10 patients with anterior plagiocephaly. The measurements of the skull base and fronto-temporal soft tissue were performed based on 3D computed tomography (CT) scan. We assessed symmetry of the skull base and fronto-temporal soft tissue change. Results The mean age of patients at FOA was 38.9 months. A significant asymmetry of the skull base was found in all the patients. The growth of the anterior and middle fossae was restricted and the deformation of the fronto-temporal region was marked by soft tissue measurements in different grades. On the follow-up CT images 23.6 months after surgery, there was prominent change ( p  < 0.05) between the two hemibases (CSO^ ratio) and between the lengths and angles of the anterior and middle cranial hemi-fossae (CX, CSX^, XSM^, XM ratio), especially in grade IIA. Anterior cranial vault asymmetry index obviously decreased to − 1.2 from 12% after surgery ( p  < 0.05). What’s more, ACA^ was also proved to be less after surgical correction (19.91° versus 8.29°, p  < 0.01) in grade IIA. The change of fronto-temporal soft tissue was significant such as the frontal angle, the angle of the frontal plane, the fontal-temporal angle, and the angle of the temporal plane in different grades. Conclusions The asymmetry of the skull base and the deformation of the fronto-temporal region can be presented by intracranial view at over 1 year of age in different grades. FOA can correct the skeletal malformation of the fronto-temporal region as well as soft tissue and the asymmetry of the skull base was improved after surgical treatment.
  • Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
  • Idioma: Inglês
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