Nguyen Tyler T, Cohen Stephanie M, Shaw Katharina S, Dedeoglu Fatma, Vleugels Ruth Ann, Ganske Ingrid M
Department of Plastic and Oral Surgery Boston Children's Hospital and Harvard Medical School Boston Massachusetts USA.
Department of Surgery Beth Israel Deaconess Medical Center Boston Massachusetts USA.
Skin Health Dis. 2024 Aug 10;4(6):e438. doi: 10.1002/ski2.438. eCollection 2024 Dec.
Diagnosis of craniofacial morphea (CM) relies upon clinical examination of progressive craniofacial changes. We assess the utility of 3D stereophotogrammetry in documenting asymmetry of the face compared to clinical notetaking. This retrospective study of 3D images and clinical documentation included 32 patients (mean age 15.7 years) with CM. A panel of specialists identified additional areas of asymmetry (those highlighted in 3D photographs that were not noted in clinical documentation) and categorised them as , or related to CM. 28 patients (87.5%) had asymmetries noted on 3D photos that were not documented in clinical notes. In 46.4% of them, additional areas were deemed consistent with CM. In the remaining patients, additional asymmetries were ambiguous (42.9%) or not thought to be related to CM (10.7%). Our results suggest that adjunctive use of 3D stereophotogrammetry enhances the documentation of CM at discrete clinical time points and therefore could be a better comparative reference during later re-examination.
颅面硬斑病（CM）的诊断依赖于对渐进性颅面变化的临床检查。我们评估了三维立体摄影测量法在记录面部不对称方面相对于临床笔记记录的效用。这项对三维图像和临床记录的回顾性研究纳入了32例CM患者（平均年龄15.7岁）。一组专家确定了额外的不对称区域（三维照片中突出显示但临床记录中未提及的区域），并将其分类为与CM相关的、或。28例患者（87.5%）在三维照片上有不对称情况，但临床笔记中未记录。其中46.4%的患者，额外区域被认为与CM一致。在其余患者中，额外的不对称情况不明确（42.9%）或被认为与CM无关（10.7%）。我们的结果表明，在离散的临床时间点辅助使用三维立体摄影测量法可增强对CM的记录，因此在后续复查时可能是更好的比较参考。
