دورية أكاديمية
أعرض في EDS

Local Soft Tissue and Bone Displacements Following Midfacial Bipartition Distraction in Apert Syndrome - Quantification Using a Semi-Automated Method.

التفاصيل البيبلوغرافية
العنوان: Local Soft Tissue and Bone Displacements Following Midfacial Bipartition Distraction in Apert Syndrome - Quantification Using a Semi-Automated Method.
المؤلفون: van de Lande LS; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children., O'Sullivan E; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children.; Department of Computing, Imperial College London, London, UK., Knoops PGM; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children., Papaioannou A; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children.; Department of Computing, Imperial College London, London, UK., Ong J; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children., James G; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children., Jeelani NO; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children., Schievano S; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children., Dunaway DJ; UCL Great Ormond Street Institute of Child Health; Craniofacial Unit, Great Ormond Street Hospital for Children.
المصدر: The Journal of craniofacial surgery [J Craniofac Surg] 2021 Nov-Dec 01; Vol. 32 (8), pp. 2646-2650.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg
أسماء مطبوعة: Publication: <2014-> : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Burlington, Ont. : B.C. Decker, c1990-
مواضيع طبية MeSH: Acrocephalosyndactylia*/diagnostic imaging , Acrocephalosyndactylia*/surgery , Osteogenesis, Distraction*, Humans ; Maxilla ; Orbit ; Zygoma
مستخلص: Abstract: Patients with Apert syndrome experience midfacial hypoplasia, hypertelorism, and downslanting palpebral fissures which can be corrected by midfacial bipartition distraction with rigid external distraction device. Quantitative studies typically focus on quantifying rigid advancement and rotation postdistraction, but intrinsic shape changes of bone and soft tissue remain unknown. This study presents a method to quantify these changes. Pre- and post-operative computed tomography scans from patients with Apert syndrome undergoing midfacial bipartition distraction with rigid external distraction device were collected. Digital Imaging and Communications in Medicine files were converted to three-dimensional bone and soft tissue reconstructions. Postoperative reconstructions were aligned on the preoperative maxilla, followed by nonrigid iterative closest point transformation to determine local shape changes. Anatomical point-to-point displacements were calculated and visualized using a heatmap and arrow map. Nine patients were included.Zygomatic arches and frontal bone demonstrated the largest changes. Mid-lateral to supra-orbital rim showed an upward, inward motion. Mean bone displacements ranged from 3.3 to 12.8 mm. Soft tissue displacements were relatively smaller, with greatest changes at the lateral canthi. Midfacial bipartition distraction with rigid external distraction device results in upward, inward rotation of the orbits, upward rotation of the zygomatic arch, and relative posterior motion of the frontal bone. Local movements were successfully quantified using a novel method, which can be applied to other surgical techniques/syndromes.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2021 by Mutaz B. Habal, MD.)
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تواريخ الأحداث: Date Created: 20210714 Date Completed: 20211104 Latest Revision: 20211105
رمز التحديث: 20231215
DOI: 10.1097/SCS.0000000000007875
PMID: 34260460
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3732
DOI:10.1097/SCS.0000000000007875