The Esthetic Perception of Morphological Severity in Scaphocephalic Patients is Correlated With Specific Head Geometrical Features.

Autor:	Borghi A; UCL Great Ormond Street Institute of Child Health, London, UK.; Great Ormond Street Hospital for Children, London, UK., Heutinck P; UCL Great Ormond Street Institute of Child Health, London, UK.; Erasmus University Hospital, Rotterdam, the Netherlands., Rodriguez-Florez N; Universidad de Navarra, TECNUN Escuela de Ingenieros, Donostia-San Sebastián, Spain.; Ikerbasque, Basque Foundation for Science, Bilbao, Spain., Koudstaal M; UCL Great Ormond Street Institute of Child Health, London, UK.; Great Ormond Street Hospital for Children, London, UK.; Erasmus University Hospital, Rotterdam, the Netherlands., Ruggiero F; Great Ormond Street Hospital for Children, London, UK.; DIBIDEM, Alma Mater Studiorum University of Bologna, Bologna, Italy., Ajami S; UCL Great Ormond Street Institute of Child Health, London, UK.; Great Ormond Street Hospital for Children, London, UK., Schievano S; UCL Great Ormond Street Institute of Child Health, London, UK.; Great Ormond Street Hospital for Children, London, UK., Jeelani NUO; UCL Great Ormond Street Institute of Child Health, London, UK.; Great Ormond Street Hospital for Children, London, UK., Dunaway D; UCL Great Ormond Street Institute of Child Health, London, UK.; Great Ormond Street Hospital for Children, London, UK.
Jazyk:	angličtina
Zdroj:	The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2023 Dec; Vol. 60 (12), pp. 1591-1599. Date of Electronic Publication: 2022 Jul 03.
DOI:	10.1177/10556656221111307
Abstrakt:	Objective: To investigate the relationship between perception of craniofacial deformity, geometric head features, and 3D head shape analyzed by statistical shape modeling (SSM). Patients: A total of 18 unoperated patients with scaphocephaly (age  =  5.2  ±  1.1m)-6 were followed-up after spring-assisted cranioplasty (SAC) (age  =  9.6  ±  1.5m)-and 6 controls (age  =  6.7  ±  2.5m). Main Outcome Measures: 3D head shapes were retrieved from 3D scans or computed tomography (CTs). Various geometrical features were measured: anterior and posterior prominence, take-off angle, average anterior and posterior lateral and horizontal curvatures, cranial index (CI) (cranial width over length), and turricephaly index (TI) (cranial height over length). SSM and principal component analysis (PCA) described shape variability. All models were 3D printed; the perception of deformity was blindly scored by 9 surgeons and 1 radiologist in terms of frontal bossing (FB), occipital bulleting (OB), biparietal narrowing (BN), low posterior vertex (LPV), and overall head shape (OHS). Results: A moderate correlation was found between FB and anterior prominence (r  =  0.56, P  < .01) and take-off angle (r  =  - 0.57, P  < .01). OB correlated with average posterior lateral curvature (r  =  0.43, P  < 0.01) similarly to BPN (r  =  0.55, P  < .01) and LPV (r  =  0.43, P  < .01). OHS showed strong correlation with CI (r  =   - 0.68, P  < .01) and TI (r  =  0.63, P < .01). SSM Mode 1 correlated with OHS (r  =  0.66, p  < .01) while Mode 3 correlated with FB (r  =   - 0.58, P  < .01). Conclusions: Esthetic cranial appearance in craniofacial patients is correlated to specific geometric parameters and could be estimated using automated methods such as SSM. Competing Interests: Declaration of Conflicting InterestsMr Owase Jeelani and Prof. David Dunaway are consultants for KLS Martin Group.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu