3D-CT investigation of craniofacial and cervical spine anomalies in congenital muscular torticollis [Konjenital müsküler tortikolliste kranyofasiyal ve servikal vertebra anomalilerinin 3B-BT ile incelenmesi.]

PURPOSE: To investigate the accompanied craniofacial and cervical spine anomalies in congenital muscular torticollis (CMT) with three-dimensional computerized tomography (3D-CT). MATERIALS AND METHODS: We examined six cases of CMT. Cranial and cervical 3D CT was performed in all cases. Facial midline deviation angle (FDA), upper hemifacial width, lower hemifacial width (LHFW), length of hemimandible and zygomatic arcus, posterior hemicranial width (PHCW), anterior hemicranial width and cranial base midline deviation angle (CBDA) were measured on cranial 3D-CT images. Value of orbital index was calculated. Data achieved both ipsilaterally and contralaterally were compared with paired t-test. Atlanto-axial rotation angle (AARA) and atlantodental interval (ADI) values were measured on cervical 3D-CT images. RESULTS: Ages ranged between 2-26 years with a M/F ratio of 1/5. Facial asymmetry was diagnosed in all cases and LHFW was significantly undersized when compared to contralateral side (p < 0.05). FDA was measured 5.4+/-2.0 degrees on the average. Zygomatic arcus and hemimandible were significantly undersized on the side of torticollis (p < 0.05). Occipital plagiocephaly existed in all cases and PHCW was significantly extensive on torticollis side (p < 0.05). CBDA was measured 4.5+/-1.7 degrees on the average. Rotational movement of atlas over axis was observed in all cases where the AARA was 15.0+/-7.4 degrees. ADI was lesser than 3 mm in all cases. CONCLUSION: Even occipital plagiocephaly, maxillary and orbital deformity were commonly found in cases of CMT, most dominant asymmetry was observed in lower hemifacial region, zygomatic arcus and mandible by 3D-CT imaging. Rotational movement of first cervical vertebra over the second one was determined in all cases.

Dergi Adı Tanisal ve girişimsel radyoloji : Tibbi Görüntüleme ve Girişimsel Radyoloji Dernegi yayin organi
Dergi Cilt Bilgisi 10
Dergi Sayısı 4
Sayfalar 272 - 279
Yayın Yılı 2004
Eser Adı
[dc.title]
3D-CT investigation of craniofacial and cervical spine anomalies in congenital muscular torticollis [Konjenital müsküler tortikolliste kranyofasiyal ve servikal vertebra anomalilerinin 3B-BT ile incelenmesi.]
Yazar
[dc.contributor.author]
Özer, Tülay
Yazar
[dc.contributor.author]
Uzun, Lokman
Yazar
[dc.contributor.author]
Numanoğlu, Kemal Varın
Yazar
[dc.contributor.author]
Savranlar, Ahmet
Yazar
[dc.contributor.author]
Hoşnuter, Mübin
Yazar
[dc.contributor.author]
Gündoğdu, Sadi
Yayın Yılı
[dc.date.issued]
2004
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
PURPOSE: To investigate the accompanied craniofacial and cervical spine anomalies in congenital muscular torticollis (CMT) with three-dimensional computerized tomography (3D-CT). MATERIALS AND METHODS: We examined six cases of CMT. Cranial and cervical 3D CT was performed in all cases. Facial midline deviation angle (FDA), upper hemifacial width, lower hemifacial width (LHFW), length of hemimandible and zygomatic arcus, posterior hemicranial width (PHCW), anterior hemicranial width and cranial base midline deviation angle (CBDA) were measured on cranial 3D-CT images. Value of orbital index was calculated. Data achieved both ipsilaterally and contralaterally were compared with paired t-test. Atlanto-axial rotation angle (AARA) and atlantodental interval (ADI) values were measured on cervical 3D-CT images. RESULTS: Ages ranged between 2-26 years with a M/F ratio of 1/5. Facial asymmetry was diagnosed in all cases and LHFW was significantly undersized when compared to contralateral side (p < 0.05). FDA was measured 5.4+/-2.0 degrees on the average. Zygomatic arcus and hemimandible were significantly undersized on the side of torticollis (p < 0.05). Occipital plagiocephaly existed in all cases and PHCW was significantly extensive on torticollis side (p < 0.05). CBDA was measured 4.5+/-1.7 degrees on the average. Rotational movement of atlas over axis was observed in all cases where the AARA was 15.0+/-7.4 degrees. ADI was lesser than 3 mm in all cases. CONCLUSION: Even occipital plagiocephaly, maxillary and orbital deformity were commonly found in cases of CMT, most dominant asymmetry was observed in lower hemifacial region, zygomatic arcus and mandible by 3D-CT imaging. Rotational movement of first cervical vertebra over the second one was determined in all cases.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
tur
Künye
[dc.identifier.citation]
Ozer, T., Uzun, L., Numanoğlu, K., Savranlar, A., Hosnuter, M. ve Gundogdu, S. (2005). [3D-CT investigation of craniofacial and cervical spine anomalies in congenital muscular torticollis]. Tanısal ve girişimsel radyoloji : Tıbbi Görüntüleme ve Girişimsel Radyoloji Derneği yayın organı, 10, 272–279.
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1300-4360
İlk Sayfa Sayısı
[dc.identifier.startpage]
272
Son Sayfa Sayısı
[dc.identifier.endpage]
279
Dergi Adı
[dc.relation.journal]
Tanisal ve girişimsel radyoloji : Tibbi Görüntüleme ve Girişimsel Radyoloji Dernegi yayin organi
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
10
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3858
Tek Biçim Adres
[dc.identifier.uri]
http://www.trdizin.gov.tr/publication/paper/detail/TXprMk1UUTA=
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measured cervical hemifacial degrees significantly torticollis hemimandible Rotational zygomatic observed hemicranial orbital cranial movement asymmetry deviation images undersized average midline plagiocephaly Facial compared existed extensive Occipital Zygomatic contralateral PURPOSE commonly determined second vertebra imaging mandible
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