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Role of cone-beam computed tomography with a large field of view in Goldenhar syndrome.

Abstract Goldenhar syndrome is a rare disease with hemifacial microsomia and craniofacial disorders originating from the first and second branchial arches, such as ocular, auricular, and vertebral anomalies. The complexity and variety of the ways in which the disease presents itself usually need several examinations. In this study, we aimed to evaluate both craniofacial and vertebral skeletal anomalies and asymmetries between the nonaffected and affected sides in patients with Goldenhar syndrome by using cone-beam computed tomography.
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Authors

Mayor MeshTerms

Cone-Beam Computed Tomography

Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 29407505
OWN - NLM
STAT- MEDLINE
DCOM- 20180213
LR  - 20180213
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 153
IP  - 2
DP  - 2018 Feb
TI  - Role of cone-beam computed tomography with a large field of view in Goldenhar
      syndrome.
PG  - 269-277
LID - S0889-5406(17)30855-7 [pii]
LID - 10.1016/j.ajodo.2017.06.024 [doi]
AB  - INTRODUCTION: Goldenhar syndrome is a rare disease with hemifacial microsomia and
      craniofacial disorders originating from the first and second branchial arches,
      such as ocular, auricular, and vertebral anomalies. The complexity and variety of
      the ways in which the disease presents itself usually need several examinations. 
      In this study, we aimed to evaluate both craniofacial and vertebral skeletal
      anomalies and asymmetries between the nonaffected and affected sides in patients 
      with Goldenhar syndrome by using cone-beam computed tomography. METHODS: Ten
      patients (7-14 years old; 6 boys, 4 girls) were evaluated via NewTom 5G cone-beam
      computed tomography (QR srl, Verona, Italy) with a large field of view (18 x 16
      cm). Ten anatomic facial landmarks were identified to measure the following
      distances bilaterally: sella turcica (ST)-mandibular angle, ST-condyle,
      ST-mastoid, ST-mental foramen, ST-fronto zygomatic suture, ST-zygomatic temporal 
      suture, ST-zygomatic facial foramen, ST-sphenopalatine fossa, mandibular
      angle-mandibular symphysis, and mandibular angle-condyle. The following 6 volumes
      were calculated bilaterally: orbit, maxillary sinus, condyle, external ear canal,
      middle ear, and internal auditory canal. These measurements were performed to
      assess skeletal asymmetries to compare the nonaffected side with the affected
      side by the Wilcoxon test. Cervical spine anomalies were classified into fusion
      anomalies and posterior arch deficiencies. RESULTS: All patients showed a deficit
      of skeletal development on the affected side. Statistically significant
      differences (0.001 </= P value </= 0.043) between the nonaffected and affected
      sides were recorded for all measurements, except for ST-frontozygomatic suture,
      mandibular angle-mandibular symphysis, and maxillary sinus volume. Vertebral
      fusion anomalies and posterior arch deficiencies were found in 7 and 4 patients, 
      respectively. CONCLUSIONS: Cone-beam computed tomography with a large field of
      view was able to accurately identify craniofacial and vertebral skeletal
      anomalies, and to quantify asymmetries between the nonaffected and affected sides
      for an efficient maxillofacial treatment planning.
CI  - Copyright (c) 2017 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Nardi, Cosimo
AU  - Nardi C
AD  - Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit
      number 2, University of Florence, Azienda Ospedaliero, Universitaria Careggi,
      Florence, Italy. Electronic address: [email protected]
FAU - De Falco, Luisa
AU  - De Falco L
AD  - Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit
      number 2, University of Florence, Azienda Ospedaliero, Universitaria Careggi,
      Florence, Italy.
FAU - Selvi, Valeria
AU  - Selvi V
AD  - Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit
      number 2, University of Florence, Azienda Ospedaliero, Universitaria Careggi,
      Florence, Italy.
FAU - Lorini, Chiara
AU  - Lorini C
AD  - Department of Health Science, University of Florence, Florence, Italy.
FAU - Calistri, Linda
AU  - Calistri L
AD  - Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit
      number 2, University of Florence, Azienda Ospedaliero, Universitaria Careggi,
      Florence, Italy.
FAU - Colagrande, Stefano
AU  - Colagrande S
AD  - Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit
      number 2, University of Florence, Azienda Ospedaliero, Universitaria Careggi,
      Florence, Italy.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
SB  - D
SB  - IM
MH  - Adolescent
MH  - Child
MH  - *Cone-Beam Computed Tomography/methods
MH  - Craniofacial Abnormalities/diagnostic imaging
MH  - Female
MH  - Foramen Magnum/diagnostic imaging
MH  - Goldenhar Syndrome/*diagnostic imaging
MH  - Humans
MH  - Male
MH  - Mandible/diagnostic imaging
MH  - Mandibular Condyle/diagnostic imaging
MH  - Mastoid/diagnostic imaging
MH  - Sella Turcica/diagnostic imaging
MH  - Spine/diagnostic imaging
MH  - Zygoma/diagnostic imaging
EDAT- 2018/02/07 06:00
MHDA- 2018/02/14 06:00
CRDT- 2018/02/07 06:00
PHST- 2017/02/01 00:00 [received]
PHST- 2017/06/01 00:00 [revised]
PHST- 2017/06/01 00:00 [accepted]
PHST- 2018/02/07 06:00 [entrez]
PHST- 2018/02/07 06:00 [pubmed]
PHST- 2018/02/14 06:00 [medline]
AID - S0889-5406(17)30855-7 [pii]
AID - 10.1016/j.ajodo.2017.06.024 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2018 Feb;153(2):269-277. doi:
      10.1016/j.ajodo.2017.06.024.