Analysis of Facial Asymmetry in Deformational Plagiocephaly Using Three-Dimensional Computed Tomographic Review
Archives of Craniofacial Surgery
; : 109-116, 2014.
Article
in En
| WPRIM
| ID: wpr-90921
Responsible library:
WPRO
ABSTRACT
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Orbit
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Congenital Abnormalities
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Nose
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Plagiocephaly, Nonsynostotic
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Ear
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Facial Asymmetry
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Mandible
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Maxilla
Limits:
Humans
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Infant
Language:
En
Journal:
Archives of Craniofacial Surgery
Year:
2014
Type:
Article