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A morphable model of the human head validating the outcomes of an age-dependent scaphocephaly correction
68 as functional successful outcomes. However, DO in the field of craniofacial surgery has its complications as most DO applications are still in their infancy level with scarce data available in current literature. Nevertheless, this method has proven to be superior to the conventional technique in the craniofacial skeleton especially when a substantial amount of advancement is required, despite its minor setbacks. http://dx.doi.org/10.1016/j.ijom.2017.02.245 Nasal aesthetics in unilateral cleft lip and palate with and without presurgical nasoalveolar molding: a preliminary assessment M. Rachwalski ∗ , S. Pullan, R. Parmar, P.N. Shetty, P. Sharma, K. Bonanthaya Smile Train Cleft Palate Centre, Department of Oral and Maxillofacial Surgery, Bhagwan Mahaveer Jain Hospital, Bangalore, India Objectives: To compare the immediate preoperative nasal morphology in patients with unilateral cleft lip and palate who underwent presurgical nasoalveolar molding (PNAM) versus no PNAM at the time of primary surgery. Methods: A total of 80 patients with unilateral cleft lip and palate were divided into two equally matched groups (group A: 40 patients with PNAM therapy; group B: 40 patients, no PNAM therapy) and assessed for nasal symmetry by basal view photographs immediately prior to cheiloplasty at the age of 6–7 months. Photographs were processed using ImageJ software and analysed for various parameters including nasal height, nasal width, columellar length and columellar angle. Results: Statistical analysis (unpaired t test) showed that patient group A which underwent PNAM therapy had an increased nasal height (P = 0.003), nasal width (P = 0.007), columellar length (P = 0.001) and were closer to a natural columellar angle (P = 0.02) when compared to group B without PNAM treatment. Conclusions: In our study, patients with unilateral cleft lip and palate exhibited superior nasal aesthetics when treated with PNAM prior to cheiloplasty. However, the results of this study can only be considered to be preliminary, as re-evaluation after growth cessation still has to confirm long-term effects on nasal morphology. http://dx.doi.org/10.1016/j.ijom.2017.02.246 Vertebral anomalies in craniofacial microsomia: a systematic review and large multicentre cohort study in over 1000 patients
as vertebral anomalies may occur. It is unclear which specific patients with CFM are at risk of vertebral anomalies. To study the prevalence and symptoms of vertebral anomalies in CFM, to determine which patients are at risk of vertebral anomalies, and whether these anomalies are associated with other extracraniofacial anomalies in CFM. All patients diagnosed with CFM seen in four major craniofacial centres were included and reviewed. Data on vertebral anomalies, symptoms, treatment and presence of other extracraniofacial anomalies was extracted. Patient characteristics were documented. The O.M.E.N.S. and Pruzansky classification were used to grade the facial malformations in patients. The authors performed a systematic review to provide an overview of literature on vertebral anomalies in CFM. Over 1000 patients were diagnosed with CFM. The reported prevalence of vertebral anomalies in CFM is 24–79%, and is mostly based on small patient numbers. A pilot study at the Boston Children’s Hospital based on 305 patients, showed that 31% of the patients with CFM had vertebral anomalies. Patients with an epibulbair dermoid or with a higher O.M.E.N.S. classification were at higher risk for vertebral anomalies. Patients diagnosed with both CFM and vertebral anomalies, were also at higher risk for other extracranial anomalies, such as cardiac, renal, or brain anomalies. The results of our total cohort of over 1000 patients will be presented. http://dx.doi.org/10.1016/j.ijom.2017.02.247 A morphable model of the human head validating the outcomes of an age-dependent scaphocephaly correction B. Robertson ∗ , H. Dai, N. Pears, C. Duncan Liverpool Supra-Regional Craniofacial Surgery Unit, Alder Hey Children’s Hospital, Liverpool, United Kingdom Scaphocephaly is the most common craniosynostosis. Our SupraRegional Unit has developed an age related protocol offering two different procedures. Children less than 6 months of age are treated with a passive strip craniectomy and microbarrel staving. Children older than this at the time of diagnosis undergo a total vault remodelling based on a modified Melbourne technique. This presentation describes the two procedures that we have modified and developed over the last 10 years and reviews the morphological outcomes, identifying the advantages and pitfalls in both techniques, and compares them against a standardised morphological human head (the ‘Headspace Project’). We believe this to be the first validated outcome of this kind for scaphocephaly correction. http://dx.doi.org/10.1016/j.ijom.2017.02.248
R.W. Renkema ∗ , C.J.J.M. Caron, J. Schipper, W. Rooijers, T. Kooiman, I.M.J. Mathijssen, E.B. Wolvius, D.J. Dunaway, C. Forrest, B.L. Padwa, M.J. Koudstaal
Bone surgery for maxillary cleft — an update
The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia’s Children’s Hospital, Rotterdam, The Netherlands
Faculty of Dentistry, Tanta University, Tanta, Egypt
Craniofacial microsomia (CFM) is characterised by a heterogeneous underdevelopment of the facial structures related to the first and second branchial arches, but extracranial malformations such
Background: A very important problem, unique to cleft patients, is the presence of an alveolar cleft. This anomaly, when left unrepaired, contributes to many problems. The type of repair range from early primary repair to secondary and tertiary repair however secondary bone grafting offers great clinical benefits.
A. Sadakah ∗ , G. Al Radom
as vertebral anomalies may occur. It is unclear which specific patients with CFM are at risk of vertebral anomalies. To study the prevalence and symptoms of vertebral anomalies in CFM, to determine which patients are at risk of vertebral anomalies, and whether these anomalies are associated with other extracraniofacial anomalies in CFM. All patients diagnosed with CFM seen in four major craniofacial centres were included and reviewed. Data on vertebral anomalies, symptoms, treatment and presence of other extracraniofacial anomalies was extracted. Patient characteristics were documented. The O.M.E.N.S. and Pruzansky classification were used to grade the facial malformations in patients. The authors performed a systematic review to provide an overview of literature on vertebral anomalies in CFM. Over 1000 patients were diagnosed with CFM. The reported prevalence of vertebral anomalies in CFM is 24–79%, and is mostly based on small patient numbers. A pilot study at the Boston Children’s Hospital based on 305 patients, showed that 31% of the patients with CFM had vertebral anomalies. Patients with an epibulbair dermoid or with a higher O.M.E.N.S. classification were at higher risk for vertebral anomalies. Patients diagnosed with both CFM and vertebral anomalies, were also at higher risk for other extracranial anomalies, such as cardiac, renal, or brain anomalies. The results of our total cohort of over 1000 patients will be presented. http://dx.doi.org/10.1016/j.ijom.2017.02.247 A morphable model of the human head validating the outcomes of an age-dependent scaphocephaly correction B. Robertson ∗ , H. Dai, N. Pears, C. Duncan Liverpool Supra-Regional Craniofacial Surgery Unit, Alder Hey Children’s Hospital, Liverpool, United Kingdom Scaphocephaly is the most common craniosynostosis. Our SupraRegional Unit has developed an age related protocol offering two different procedures. Children less than 6 months of age are treated with a passive strip craniectomy and microbarrel staving. Children older than this at the time of diagnosis undergo a total vault remodelling based on a modified Melbourne technique. This presentation describes the two procedures that we have modified and developed over the last 10 years and reviews the morphological outcomes, identifying the advantages and pitfalls in both techniques, and compares them against a standardised morphological human head (the ‘Headspace Project’). We believe this to be the first validated outcome of this kind for scaphocephaly correction. http://dx.doi.org/10.1016/j.ijom.2017.02.248
R.W. Renkema ∗ , C.J.J.M. Caron, J. Schipper, W. Rooijers, T. Kooiman, I.M.J. Mathijssen, E.B. Wolvius, D.J. Dunaway, C. Forrest, B.L. Padwa, M.J. Koudstaal
Bone surgery for maxillary cleft — an update
The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia’s Children’s Hospital, Rotterdam, The Netherlands
Faculty of Dentistry, Tanta University, Tanta, Egypt
Craniofacial microsomia (CFM) is characterised by a heterogeneous underdevelopment of the facial structures related to the first and second branchial arches, but extracranial malformations such
Background: A very important problem, unique to cleft patients, is the presence of an alveolar cleft. This anomaly, when left unrepaired, contributes to many problems. The type of repair range from early primary repair to secondary and tertiary repair however secondary bone grafting offers great clinical benefits.
A. Sadakah ∗ , G. Al Radom