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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1994 Sep;86(9):676–680.

Three-dimensional computed tomography imaging in the evaluation of craniofacial abnormalities.

C F Darling 1, S E Byrd 1, E D Allen 1, M A Radkowski 1, M A Wilczynski 1
PMCID: PMC2607574  PMID: 7966430

Abstract

A retrospective study was undertaken to assess the value of three-dimensional computed tomography (3-D CT) in evaluating craniofacial abnormalities. Over a 2-year period, 145 children evaluated with routine two-dimensional (2-D) CT had 3-D CT reformatted images assessing a variety of anomalies including craniosynostosis, midface clefts, trauma, and craniofacial syndromes. There were 62 females and 83 males ranging in age from 1 month to 17 years (median: 5 months). Both soft-tissue and bone algorithms were used. In all 145 cases, the 3-D CT images confirmed or provided additional information of depth perception, contours, volumes, and extent of an abnormality. This was especially important and useful in the settings of complex anomalies and preoperative planning. We concluded that 3-D CT reconstructed images in conjunction with routine 2-D CT should be an integral part of the examination in evaluating craniofacial abnormalities.

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Selected References

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  1. Altman N. R., Altman D. H., Wolfe S. A., Morrison G. Three-dimensional CT reformation in children. AJR Am J Roentgenol. 1986 Jun;146(6):1261–1267. doi: 10.2214/ajr.146.6.1261. [DOI] [PubMed] [Google Scholar]
  2. David D. J., Moore M. H., Cooter R. D. Tessier clefts revisited with a third dimension. Cleft Palate J. 1989 Jul;26(3):163–185. [PubMed] [Google Scholar]
  3. Furuya Y., Edwards M. S., Alpers C. E., Tress B. M., Norman D., Ousterhout D. K. Computerized tomography of cranial sutures. Part 2: Abnormalities of sutures and skull deformity in craniosynostosis. J Neurosurg. 1984 Jul;61(1):59–70. doi: 10.3171/jns.1984.61.1.0059. [DOI] [PubMed] [Google Scholar]
  4. Furuya Y., Edwards M. S., Alpers C. E., Tress B. M., Ousterhout D. K., Norman D. Computerized tomography of cranial sutures. Part 1: Comparison of suture anatomy in children and adults. J Neurosurg. 1984 Jul;61(1):53–58. doi: 10.3171/jns.1984.61.1.0053. [DOI] [PubMed] [Google Scholar]
  5. Gellad F. E., Haney P. J., Sun J. C., Robinson W. L., Rao K. C., Johnston G. S. Imaging modalities of craniosynostosis with surgical and pathological correlation. Pediatr Radiol. 1985;15(5):285–290. doi: 10.1007/BF02386758. [DOI] [PubMed] [Google Scholar]
  6. Gillespie J. E., Isherwood I., Barker G. R., Quayle A. A. Three-dimensional reformations of computed tomography in the assessment of facial trauma. Clin Radiol. 1987 Sep;38(5):523–526. doi: 10.1016/s0009-9260(87)80144-7. [DOI] [PubMed] [Google Scholar]
  7. Guyuron B., Ross R. J. Computer-generated model surgery. An exacting approach to complex craniomaxillofacial disharmonies. J Craniomaxillofac Surg. 1989 Apr;17(3):101–104. doi: 10.1016/s1010-5182(89)80079-4. [DOI] [PubMed] [Google Scholar]
  8. Hassler W., Zentner J. Radical osteoclastic craniectomy in sagittal synostosis. Neurosurgery. 1990 Oct;27(4):539–543. doi: 10.1097/00006123-199010000-00006. [DOI] [PubMed] [Google Scholar]
  9. Hemmy D. C., David D. J., Herman G. T. Three-dimensional reconstruction of craniofacial deformity using computed tomography. Neurosurgery. 1983 Nov;13(5):534–541. doi: 10.1227/00006123-198311000-00009. [DOI] [PubMed] [Google Scholar]
  10. Levy R. A., Edwards W. T., Meyer J. R., Rosenbaum A. E. Facial trauma and 3-D reconstructive imaging: insufficiencies and correctives. AJNR Am J Neuroradiol. 1992 May-Jun;13(3):885–892. [PMC free article] [PubMed] [Google Scholar]
  11. Marsh J. L., Celin S. E., Vannier M. W., Gado M. The skeletal anatomy of mandibulofacial dysostosis (Treacher Collins syndrome). Plast Reconstr Surg. 1986 Oct;78(4):460–470. doi: 10.1097/00006534-198610000-00003. [DOI] [PubMed] [Google Scholar]
  12. Marsh J. L., Gado M. Surgical anatomy of the craniofacial dysostoses: insights from CT scans. Cleft Palate J. 1982 Jul;19(3):212–221. [PubMed] [Google Scholar]
  13. Marsh J. L., Galic M., Vannier M. W. Surgical correction of the craniofacial dysmorphology of Apert syndrome. Clin Plast Surg. 1991 Apr;18(2):251–275. [PubMed] [Google Scholar]
  14. Marsh J. L., Galic M., Vannier M. W. The craniofacial anatomy of Apert syndrome. Clin Plast Surg. 1991 Apr;18(2):237–249. [PubMed] [Google Scholar]
  15. Marsh J. L., Vannier M. W. The "third" dimension in craniofacial surgery. Plast Reconstr Surg. 1983 Jun;71(6):759–767. doi: 10.1097/00006534-198306000-00002. [DOI] [PubMed] [Google Scholar]
  16. Marsh J. L., Vannier M. W. The anatomy of the cranio-orbital deformities of craniosynostosis: insights from 3-D images of CT scans. Clin Plast Surg. 1987 Jan;14(1):49–60. [PubMed] [Google Scholar]
  17. Moss J. P., Grindrod S. R., Linney A. D., Arridge S. R., James D. A computer system for the interactive planning and prediction of maxillofacial surgery. Am J Orthod Dentofacial Orthop. 1988 Dec;94(6):469–475. doi: 10.1016/0889-5406(88)90004-2. [DOI] [PubMed] [Google Scholar]
  18. Naidich T. P., Osborn R. E., Bauer B., Naidich M. J. Median cleft face syndrome: MR and CT data from 11 children. J Comput Assist Tomogr. 1988 Jan-Feb;12(1):57–64. [PubMed] [Google Scholar]
  19. Paller A. S., Pensler J. M., Tomita T. Nasal midline masses in infants and children. Dermoids, encephaloceles, and gliomas. Arch Dermatol. 1991 Mar;127(3):362–366. [PubMed] [Google Scholar]
  20. Sullivan P. K., Melsen B., Mulliken J. B. Calvarial sutural abnormalities: metopic synostosis and coronal deformation--an anatomic, three-dimensional radiographic, and pathologic study. Plast Reconstr Surg. 1990 Dec;86(6):1072–1077. [PubMed] [Google Scholar]
  21. Vannier M. W., Hildebolt C. F., Marsh J. L., Pilgram T. K., McAlister W. H., Shackelford G. D., Offutt C. J., Knapp R. H. Craniosynostosis: diagnostic value of three-dimensional CT reconstruction. Radiology. 1989 Dec;173(3):669–673. doi: 10.1148/radiology.173.3.2813770. [DOI] [PubMed] [Google Scholar]

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