Document Detail


Mandibular alterations and facial lower third asymmetries in unicoronal synostosis.
MedLine Citation:
PMID:  23274637     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: Maxillary and mandibular alterations in children affected by anterior synostotic plagiocephaly have, until today, received only scarce attention. The goal of this paper is to focus on the mandibular alterations, persisting after the early correction of anterior plagiocephaly during the first year of life. METHODS: Maxillary and mandibular metric measurements were performed on high resolution, thin slices CT scans; all images were reconstructed into 3D models which were used to perform the metrical assessments. RESULTS: Twelve patients were selected; all of them had been treated in early age with a neurosurgical intervention and had reached the end of maxillo-mandibular growth at the time of the evaluation. Significant discrepancies were documented between the two affected sides, with all measured distances being shorter on the synostotic side than the nonsynostotic one, the only exception being the vertical dimension of the mandibular ramus. DISCUSSION: Mandibular alterations resulted to be characterized by lower jaw hypoplasia on the side of the affected suture and anterior displacement of the glenoid fossa; these two entities compensated each other uncompletely, ending in a rotation of the mandibula towards the synostotic side.
Authors:
Giulio Gasparini; Gianmarco Saponaro; Tito Matteo Marianetti; Gianpiero Tamburrini; Alessandro Moro; Concezio Di Rocco; Sandro Pelo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-29
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  -     ISSN:  1433-0350     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Maxillo Facial Surgery Unit, Complesso Integrato Columbus, Catholic University Medical School, Via Giuseppe Moscati 31-33, 00168, Rome, Italy, giulio.gasparini@rm.unicatt.it.
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