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半侧颜面短小畸形的三维坐标系

Three-dimensional Coordinate System for Hemifacial Microsomia.

作者信息

Ariizumi Dai, Sakamoto Teruo, Ishii Takenobu, Sueishi Kenji, Nishii Yasushi, Sakamoto Yoshiaki, Ogata Hisao

机构信息

Department of Orthodontics, Tokyo Dental College, Chiba, Japan.

Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.

出版信息

Plast Reconstr Surg Glob Open. 2020 Apr 29;8(4):e2761. doi: 10.1097/GOX.0000000000002761. eCollection 2020 Apr.

DOI:10.1097/GOX.0000000000002761
PMID:32440429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7209889/
Abstract

BACKGROUND

Hemifacial microsomia (HFM) is a congenital disorder characterized by facial asymmetry, but no midline reference has been established for evaluating facial morphology in patients with HFM. The purpose of this study was to develop a 3-dimensional coordinate system unaffected by the deformity of the external acoustic aperture or orbital circumference and to quantitatively evaluate craniofacial morphology in such patients.

METHODS

We quantitatively evaluated craniofacial morphology using 3-dimensional measurements with the skull base as a reference. Using computed tomography data from 15 patients with HFM and 15 controls, a coordinate system was created for each patient, and left-right differences between measurement points were compared.

RESULTS

When mandibular deformity was severe, the deformity of the posterior part of the palatine bone and lateral part of the orbit increased, but this trend was not evident for other measurement points. Thus, craniofacial deformity in HFM was not always related to mandibular deformity. Moreover, no difference was evident in the position of the hypoglossal canal between controls and patients with HFM.

CONCLUSIONS

Quantitative assessments are possible using the coordinate system devised in this study, irrespective of the severity of HFM. The degree of mandibular deformity detailed in the Pruzansky classification was associated with the superoinferior deformity of the posterior part of the palatine bone and anteroposterior deformity of the lateral part of the orbit.

摘要

背景

半侧颜面短小畸形（HFM）是一种以面部不对称性为特征的先天性疾病，但尚未建立用于评估HFM患者面部形态的中线参考标准。本研究的目的是建立一个不受外耳道或眶周畸形影响的三维坐标系，并定量评估此类患者的颅面形态。

方法

我们以颅底为参考，通过三维测量对颅面形态进行定量评估。利用15例HFM患者和15例对照者的计算机断层扫描数据，为每位患者创建一个坐标系，并比较测量点之间的左右差异。

结果

当下颌骨畸形严重时，腭骨后部和眶外侧部的畸形增加，但其他测量点的这种趋势不明显。因此，HFM中的颅面畸形并不总是与下颌骨畸形相关。此外，HFM患者与对照者之间舌下神经管的位置没有明显差异。

结论

无论HFM的严重程度如何，使用本研究设计的心坐标系都可以进行定量评估。Pruzansky分类中详细描述的下颌骨畸形程度与腭骨后部的上下畸形和眶外侧部的前后畸形相关。

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