000 03163nam a22003737a 4500
008 220221s20222022 xxu||||| |||| 00| 0 eng d
024 _a00001665-900000000-91909 [pii]
024 _a10.1097/SCS.0000000000008464 [doi]
040 _aOvid MEDLINE(R)
099 _a35013073
245 _aCraniofacial Dysmorphology in Infants With Non-Syndromic Unilateral Coronal Craniosynostosis.
251 _aJournal of Craniofacial Surgery. 2022 Jan 10
252 _aJ Craniofac Surg. 2022 Jan 10
253 _aThe Journal of craniofacial surgery
260 _c2022
260 _fFY2022
260 _p2022 Jan 10
265 _saheadofprint
266 _d2022-02-21
501 _aAvailable online from MWHC library: 2001 - present, Available in print through MWHC library:1999-2007
520 _aBACKGROUND: Unilateral coronal craniosynostosis (UCS) is a congenital disorder resulting from the premature suture fusion, leading to complex primary and compensatory morphologic changes in the shape of not only the calvarium and but also into the skull base. This deformity typically requires surgery to correct the shape of the skull and prevent neurologic sequelae, including increased intracranial pressure, sensory deficits, and cognitive impairment.
520 _aCONCLUSIONS: The described technique illustrates the impact of premature coronal suture fusion on the development of the entire skull and proposes how bone dysmorphology contributes to the patients' neurologic sequelae. By bridging novel basic science methodologies with clinical research, the present study quantitatively describes craniofacial development and bone dysmorphogenesis. Copyright (c) 2022 by Mutaz B. Habal, MD.
520 _aMETHODS: The present multicenter study sought to reverse-engineer the bone dysmorphogenesis seen in non-syndromic UCS using a geometric morphometric approach. Computed tomography scans for 26 non-syndromic UCS patients were converted to three-dimensional mesh models. Two hundred thirty-six unique anatomical landmarks and semi-landmarked curves were then plotted on each model, creating wireframe representations of the patients' skulls.
520 _aRESULTS: Generalized Procrustes superimposition, Principal Component Analysis, and heatmaps identified significant superior displacement of the ipsilateral orbit ("harlequin" eye deformity), anterior displacement of the ear ipsilateral to the fused coronal suture, acute deviation of midline skull base structures ipsilateral to the fused coronal suture and flattening of the parietal bone and associated failure to expand superiorly.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
656 _aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 _aPlastic Surgery Residency
657 _aJournal Article
700 _aMargulies, Ilana
790 _aBellaire CP, Delman BN, Devarajan A, Goel P, Jacob L, Liu H, Mandelbaum M, Margulies IG, Napoli JG, Rutland JW, Sayegh F, Taub PJ, Urata MM
856 _uhttps://dx.doi.org/10.1097/SCS.0000000000008464
_zhttps://dx.doi.org/10.1097/SCS.0000000000008464
942 _cART
_dArticle
999 _c833
_d833