First and second branchial arch syndromes: multimodality approach.

First and second branchial arch syndromes: multimodality approach.

MedLine Citation:	PMID: 20924574 Owner: NLM Status: In-Data-Review
Abstract/OtherAbstract:	First and second branchial arch syndromes (BAS) manifest as combined tissue deficiencies and hypoplasias of the face, external ear, middle ear and maxillary and mandibular arches. They represent the second most common craniofacial malformation after cleft lip and palate. Extended knowledge of the embryology and anatomy of each branchial arch derivative is mandatory for the diagnosis and grading of different BAS lesions and in the follow-up of postoperative patients. In recent years, many new complex surgical approaches and procedures have been designed by maxillofacial surgeons to treat extensive maxillary, mandibular and external and internal ear deformations. The purpose of this review is to evaluate the role of different imaging modalities (orthopantomogram (OPG), lateral and posteroanterior cephalometric radiographs, CT and MRI) in the diagnosis of a wide spectrum of first and second BAS, including hemifacial microsomia, mandibulofacial dysostosis, branchio-oto-renal syndrome, Pierre Robin sequence and Nager acrofacial dysostosis. Additionally, we aim to emphasize the importance of the systematic use of a multimodality imaging approach to facilitate the precise grading of these syndromes, as well as the preoperative planning of different reconstructive surgical procedures and their follow-up during treatment.

Authors:	Elodie Senggen; Tarek Laswed; Jean-Yves Meuwly; Leonor Alamo Maestre; Bertrand Jaques; Reto Meuli; François Gudinchet
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Publication Detail:	Type: Journal Article Date: 2010-10-06
Journal Detail:	Title: Pediatric radiology Volume: 41 ISSN: 1432-1998 ISO Abbreviation: Pediatr Radiol Publication Date: 2011 May
Date Detail:	Created Date: 2011-04-14 Completed Date: - Revised Date: -
Medline Journal Info:	Nlm Unique ID: 0365332 Medline TA: Pediatr Radiol Country: Germany
Other Details:	Languages: eng Pagination: 549-61 Citation Subset: IM
Affiliation:	Radiology Department, University Hospital of Lausanne, Rue de Bugnon 46, Lausanne, 1011, Switzerland, esenggen@hotmail.com.
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