|
|
J Natl Med Assoc. 1994 September; 86(9): 676–680. | PMCID: PMC2607574 |
Three-dimensional computed tomography imaging in the evaluation of craniofacial abnormalities. C. F. Darling, S. E. Byrd, E. D. Allen, M. A. Radkowski, and M. A. Wilczynski Department of Radiology, Children's Memorial Hospital, Chicago, IL. Abstract A retrospective study was undertaken to assess the value of three-dimensional computed tomography (3-D CT) in evaluating craniofacial abnormalities. Over a 2-year period, 145 children evaluated with routine two-dimensional (2-D) CT had 3-D CT reformatted images assessing a variety of anomalies including craniosynostosis, midface clefts, trauma, and craniofacial syndromes. There were 62 females and 83 males ranging in age from 1 month to 17 years (median: 5 months). Both soft-tissue and bone algorithms were used. In all 145 cases, the 3-D CT images confirmed or provided additional information of depth perception, contours, volumes, and extent of an abnormality. This was especially important and useful in the settings of complex anomalies and preoperative planning. We concluded that 3-D CT reconstructed images in conjunction with routine 2-D CT should be an integral part of the examination in evaluating craniofacial abnormalities. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (2.1M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. Images in this article Click on the image to see a larger version. These references are in PubMed. This may not be the complete list of references from this article. - Marsh JL, Gado M. Surgical anatomy of the craniofacial dysostoses: insights from CT scans. Cleft Palate J. 1982 Jul;19(3):212–221. [PubMed]
- Paller AS, Pensler JM, Tomita T. Nasal midline masses in infants and children. Dermoids, encephaloceles, and gliomas. Arch Dermatol. 1991 Mar;127(3):362–366. [PubMed]
- Naidich TP, Osborn RE, Bauer B, Naidich MJ. Median cleft face syndrome: MR and CT data from 11 children. J Comput Assist Tomogr. 1988 Jan–Feb;12(1):57–64. [PubMed]
- Altman NR, Altman DH, Wolfe SA, Morrison G. Three-dimensional CT reformation in children. AJR Am J Roentgenol. 1986 Jun;146(6):1261–1267. [PubMed]
- Moss JP, Grindrod SR, Linney AD, Arridge SR, James D. A computer system for the interactive planning and prediction of maxillofacial surgery. Am J Orthod Dentofacial Orthop. 1988 Dec;94(6):469–475. [PubMed]
- Marsh JL, Vannier MW. The "third" dimension in craniofacial surgery. Plast Reconstr Surg. 1983 Jun;71(6):759–767. [PubMed]
- Levy RA, Edwards WT, Meyer JR, Rosenbaum AE. Facial trauma and 3-D reconstructive imaging: insufficiencies and correctives. AJNR Am J Neuroradiol. 1992 May–Jun;13(3):885–892. [PubMed]
- Gillespie JE, Isherwood I, Barker GR, Quayle AA. Three-dimensional reformations of computed tomography in the assessment of facial trauma. Clin Radiol. 1987 Sep;38(5):523–526. [PubMed]
- Hemmy DC, David DJ, Herman GT. Three-dimensional reconstruction of craniofacial deformity using computed tomography. Neurosurgery. 1983 Nov;13(5):534–541. [PubMed]
- David DJ, Moore MH, Cooter RD. Tessier clefts revisited with a third dimension. Cleft Palate J. 1989 Jul;26(3):163–185. [PubMed]
- Marsh JL, Galic M, Vannier MW. Surgical correction of the craniofacial dysmorphology of Apert syndrome. Clin Plast Surg. 1991 Apr;18(2):251–275. [PubMed]
- Marsh JL, Vannier MW. The anatomy of the cranio-orbital deformities of craniosynostosis: insights from 3-D images of CT scans. Clin Plast Surg. 1987 Jan;14(1):49–60. [PubMed]
- Furuya Y, Edwards MS, Alpers CE, Tress BM, Ousterhout DK, Norman D. Computerized tomography of cranial sutures. Part 1: Comparison of suture anatomy in children and adults. J Neurosurg. 1984 Jul;61(1):53–58. [PubMed]
- Furuya Y, Edwards MS, Alpers CE, Tress BM, Norman D, Ousterhout DK. Computerized tomography of cranial sutures. Part 2: Abnormalities of sutures and skull deformity in craniosynostosis. J Neurosurg. 1984 Jul;61(1):59–70. [PubMed]
- Vannier MW, Hildebolt CF, Marsh JL, Pilgram TK, McAlister WH, Shackelford GD, Offutt CJ, Knapp RH. Craniosynostosis: diagnostic value of three-dimensional CT reconstruction. Radiology. 1989 Dec;173(3):669–673. [PubMed]
- Sullivan PK, Melsen B, Mulliken JB. Calvarial sutural abnormalities: metopic synostosis and coronal deformation--an anatomic, three-dimensional radiographic, and pathologic study. Plast Reconstr Surg. 1990 Dec;86(6):1072–1077. [PubMed]
- Gellad FE, Haney PJ, Sun JC, Robinson WL, Rao KC, Johnston GS. Imaging modalities of craniosynostosis with surgical and pathological correlation. Pediatr Radiol. 1985;15(5):285–290. [PubMed]
- Marsh JL, Galic M, Vannier MW. The craniofacial anatomy of Apert syndrome. Clin Plast Surg. 1991 Apr;18(2):237–249. [PubMed]
- Hassler W, Zentner J. Radical osteoclastic craniectomy in sagittal synostosis. Neurosurgery. 1990 Oct;27(4):539–543. [PubMed]
- Guyuron B, Ross RJ. Computer-generated model surgery. An exacting approach to complex craniomaxillofacial disharmonies. J Craniomaxillofac Surg. 1989 Apr;17(3):101–104. [PubMed]
- Marsh JL, Celin SE, Vannier MW, Gado M. The skeletal anatomy of mandibulofacial dysostosis (Treacher Collins syndrome). Plast Reconstr Surg. 1986 Oct;78(4):460–470. [PubMed]
|
This article has been 
