000 | 03163nam a22003737a 4500 | ||
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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 |
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942 |
_cART _dArticle |
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999 |
_c833 _d833 |