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Mandibular alterations and facial lower third asymmetries in unicoronal synostosis

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Abstract

Purpose

Maxillary and mandibular alterations in children affected by anterior synostotic plagiocephaly have, until today, received only scarce attention. The goal of this paper is to focus on the mandibular alterations, persisting after the early correction of anterior plagiocephaly during the first year of life.

Methods

Maxillary and mandibular metric measurements were performed on high resolution, thin slices CT scans; all images were reconstructed into 3D models which were used to perform the metrical assessments.

Results

Twelve patients were selected; all of them had been treated in early age with a neurosurgical intervention and had reached the end of maxillo-mandibular growth at the time of the evaluation. Significant discrepancies were documented between the two affected sides, with all measured distances being shorter on the synostotic side than the nonsynostotic one, the only exception being the vertical dimension of the mandibular ramus.

Discussion

Mandibular alterations resulted to be characterized by lower jaw hypoplasia on the side of the affected suture and anterior displacement of the glenoid fossa; these two entities compensated each other uncompletely, ending in a rotation of the mandibula towards the synostotic side.

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References

  1. Bruneteau RJ, Mulliken JB (1992) Frontal plagiocephaly: synostotic, compensational, or deformational. Plast Reconstr Surg 89(1):21–31, discussion 32–3

    PubMed  CAS  Google Scholar 

  2. De Ponte FS, Fadda T, Rinna C, Brunelli A, Iannetti G (1997) Early and late surgical treatment of orbital dystopia in craniofacial malformation. J Craniofac Surg 8(1):17–22

    Article  PubMed  Google Scholar 

  3. Di Rocco C (2009) Non syndromic craniosynostoses. In: Sindou M (ed) Practical handbook of neurosurgery from leading neurosurgeons, 2nd edn. Springer, Wien, pp 561–584

    Google Scholar 

  4. Di Rocco C, Velardi F (1988) Nosographic identification and classification of plagiocephaly. Childs Nerv Syst 4(1):9–15

    PubMed  Google Scholar 

  5. Hansen M, Padwa BL, Scott RM (1997) Synostotic frontal plagiocephaly: anthropometric comparison of three techniques for surgical correction. Plast Reconstr Surg 100(6):1387–1395

    Article  PubMed  CAS  Google Scholar 

  6. Kane AA, Kim YO, Eaton A et al (2000) Quantification of osseous facial dysmorphology in untreated unilateral coronal synostosis. Plast Reconstr Surg 106(2):251–258

    Article  PubMed  CAS  Google Scholar 

  7. Marianetti TM, Gasparini G, Moro A, Alimonti V, Cervelli D, Boniello R, Di Rocco C, Saponaro G, Pelo S (2011) Nasal and ethmoidal alterations in anterior synostotic plagiocephaly. J Craniofac Surg 22(2):509–513

    Article  PubMed  Google Scholar 

  8. Meara JC, Burvin R, Bartlett RA (2003) Anthropometric study of synostotic frontal plagiocephaly: before and after fronto-orbital advancement with correction of nasal angulation. Plast Reconstr Surg 112(3):731–738

    Article  PubMed  Google Scholar 

  9. Netherway DJ, Abbott AH, Gulamhuseinwala N et al (2006) Three-dimensional computed tomography cephalometry plagiocephaly: asymmetry and shape analysis. Cleft Palate Craniofac J 43(2):201–210

    Article  PubMed  CAS  Google Scholar 

  10. Palmieri A, Zollino I, Clauser L, Lucchese A, Girardi A, Farinella F, Carinci F (2011) Biological effect of resorbable plates on normal osteoblasts and osteoblasts derived from Pfeiffer syndrome. J Craniofac Surg 22(3):860–863

    Article  PubMed  Google Scholar 

  11. Pelo S, Tamburrini G, Marianetti TM, Saponaro G, Moro A, Gasparini G, Di Rocco C (2011) Correlations between the abnormal development of the skull base and facial skeleton growth in anterior synostotic plagiocephaly: the predictive value of a classification based on CT scan examination. Childs Nerv Syst 27(9):1431–1443, Epub 2011 Jul 1

    Article  PubMed  Google Scholar 

  12. Reinhart E, Reuther J, Collmann H (1998) Long-term outcome after corrective surgery of the neuro- and viscerocranium of patients with simple and syndrome-related premature craniosynostosis. Mund Kiefer Gesichtschir 2(1):S44–S48

    Article  PubMed  Google Scholar 

  13. Tulasne JF, Tessier P (1981) Analysis and late treatment of plagiocephaly: unilateral coronal synostosis. Scand J Plast Reconstr Surg 15(3):257–263

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Maxillo Facial Surgery Unit, Complesso Integrato Columbus, Catholic University Medical School, Via Giuseppe Moscati 31-33, 00168, Rome, Italy

    Giulio Gasparini, Gianmarco Saponaro, Tito Matteo Marianetti & Sandro Pelo

  2. Pediatric Neurosurgery, Policlinico Universitario “A. Gemelli”, Catholic University Medical School, Largo A. Gemelli 8, 00168, Rome, Italy

    Gianpiero Tamburrini & Concezio Di Rocco

  3. Maxillo-Facial Surgery, Ospedale “S. Giovanni Battista”, Via Massimo Arcamone, 5-06034, Foligno, PG, Italy

    Alessandro Moro

Authors
  1. Giulio Gasparini
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  2. Gianmarco Saponaro
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  3. Tito Matteo Marianetti
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  4. Gianpiero Tamburrini
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  5. Alessandro Moro
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  6. Concezio Di Rocco
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  7. Sandro Pelo
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Correspondence to Giulio Gasparini.

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Gasparini, G., Saponaro, G., Marianetti, T.M. et al. Mandibular alterations and facial lower third asymmetries in unicoronal synostosis. Childs Nerv Syst 29, 665–671 (2013). https://doi.org/10.1007/s00381-012-2002-7

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  • DOI: https://doi.org/10.1007/s00381-012-2002-7

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