Analysis of Facial Asymmetry in Deformational Plagiocephaly Using Three-Dimensional Computed Tomographic Review.
Analysis of Facial Asymmetry in Deformational Plagiocephaly Using Three-Dimensional Computed Tomographic Review.
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DOI：
10.7181/acfs.2014.15.3.109
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发表时间：
2014-12
影响因子：
--
通讯作者：
Oh KS
中科院分区：
文献类型：
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作者：
Moon IY;Lim SY;Oh KS
变形性斜头畸形的婴儿通常表现为颅穹窿畸形和面部不对称。本研究旨在利用三维人体测量数据来评估颅骨畸形对面部不对称的影响。我们分析了患有DP（n=48）和没有DP（n=30，对照）的婴儿的三维计算机断层扫描数据。使用16个标志点和3个参考平面，比较了22个距离参数和2个角度参数。该头影测量评估的重点是眼眶、鼻子、耳朵、上颌骨和下颌骨的不对称性。然后，我们评估了23个测量值和颅穹窿不对称（CVA）之间的相关性，使用相对差异和相关性分析的统计学意义。除了少数眼眶不对称变量外，大多数测量结果表明，DP婴儿的面部不对称性更大。下颌和鼻的不对称性与CVA的严重程度高度相关。同侧下颌体缩短尤其显著。上颌骨或耳部无明显畸形。这项研究表明，颅穹窿畸形DP与面部不对称。与对照组相比，DP患儿的鼻、下颌骨明显不对称。
Infants with deformational plagiocephaly (DP) usually present with cranial vault deformities as well as facial asymmetry. The purpose of this study was to use three-dimensional anthropometric data to evaluate the influence of cranial deformities on facial asymmetry. We analyzed three-dimensional computed tomography data for infants with DP (n=48) and without DP (n=30, control). Using 16 landmarks and 3 reference planes, 22 distance parameters and 2 angular parameters were compared. This cephalometric assessment focused on asymmetry of the orbits, nose, ears, maxilla, and mandible. We then assessed the correlation between 23 of the measurements and cranial vault asymmetry (CVA) for statistical significance using relative differences and correlation analysis. With the exception of few orbital asymmetry variables, most measurements indicated that the facial asymmetry was greater in infants with DP. Mandibular and nasal asymmetry was correlated highly with severity of CVA. Shortening of the ipsilateral mandibular body was particularly significant. There was no significant deformity in the maxilla or ear. This study demonstrated that the cranial vault deformity in DP is associated with facial asymmetry. Compared with the control group, the infants with DP were found to have prominent asymmetry of the nose and mandible.