Component Bone Marker Displacements Revealed by Image-corrected Cephalometric Analysis. A Lateral Cephalometric Study of the Cranium in Normal and Craniosynostosis--an Implant Study

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 1996 Nov 1

PMID 9118126

Authors

J L Spolyar

A Canady

Affiliations

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Abstract

Displacement of bony component anatomy has not been comprehensively described in human cranial development. In this study, tantalum implants were used to define cranial bone position on serial cephalometric surveys. Image correction (ICCA method) was used to eliminate artifactual shift of component markers before serial analysis was used to define implant movement. In addition, applicable normative standards were used to assess all case presentations. Three normal subjects comprised a normal mixed longitudinal sample aged 2 to 84 months. Two plagiocephaly subjects were studied, one from 6 to 77 months and the other from 16 to 44 months of age. Three syndromic craniosynostosis subjects demonstrated both abnormal and normalized growth following craniotomy, from 14 to 45, from 0.5 to 5.5, and from 2 to 75 months of age. A pattern of backward rotation of cranial component anatomy was observed in three normal subjects and two plagiocephaly subjects. The posterior fossa (PF) showed the greatest growth activity, with displacement adjustments throughout the study, and the anterior cranial fossa (ACF) least growth activity, with imperceptible frontal bone movement after age 3 years. After traditional bifrontal craniotomy, an abnormal displacement growth pattern was observed from age 14 to 45 months in the patient with syndromic craniosynostosis (Pfeiffer syndrome). Extensive fronto-parietal "bossing" and grossly deficient movement in the PF were observed. However, after a bifrontal craniotomy that also crossed lambdoid sutures, a normalized pattern of displacement growth was observed in two Apert syndrome patients. These two patients with extensive syndromic craniosynostosis had cranial component pattern adjustments as in the normal and plagiocephalic subjects.

References

Spolyar J, Vasileff W, MacIntosh R . Image corrected cephalometric analysis (ICCA): design and evaluation. Cleft Palate Craniofac J. 1993; 30(6):528-39; discussion 539-41. DOI: 10.1597/1545-1569_1993_030_0528_iccaid_2.3.co_2. View

COCCARO P, McCarthy J, Epstein F, WOOD-SMITH D, CONVERSE J . Early and late surgery in craniofacial dysostosis: a longitudinal cephalometric study. Am J Orthod. 1980; 77(4):421-36. DOI: 10.1016/0002-9416(80)90107-4. View

Marchac D, Renier D . Craniofacial surgery for craniosynostosis improves facial growth: a personal case review. Ann Plast Surg. 1985; 14(1):43-54. DOI: 10.1097/00000637-198501000-00009. View

Rune B, Selvik G, Kreiborg S, Sarnas K, Kagstrom E . Motion of bones and volume changes in the neurocranium after craniectomy in Crouzon's disease. A roentgen stereometric study. J Neurosurg. 1979; 50(4):494-8. DOI: 10.3171/jns.1979.50.4.0494. View

Scott J . The growth of the human face. Proc R Soc Med. 1954; 47(2):91-100. PMC: 1918731. DOI: 10.1177/003591575404700203. View

Sgouros S, Goldin J, Hockley A, Wake M . Posterior skull surgery in craniosynostosis. Childs Nerv Syst. 1996; 12(11):727-33. DOI: 10.1007/BF00366158. View

Rune B, Sarnas K, Selvik G, Jacobsson S . Movement of the cleft maxilla in infants relative to the frontal bone. A roentgen stereophotogrammetric study with the aid of metallic implants. Cleft Palate J. 1980; 17(2):155-74. View

Kreiborg S . Crouzon Syndrome. A clinical and roentgencephalometric study. Scand J Plast Reconstr Surg Suppl. 1981; 18:1-198. View

Friede H, Lilja J, Andersson H, JOHANSON B . Growth of the anterior cranial base after craniotomy in infants with premature synostosis of the coronal suture. Scand J Plast Reconstr Surg. 1983; 17(2):99-108. DOI: 10.3109/02844318309013104. View

10.

McCarthy J, COCCARO P, Eptstein F, CONVERSE J . Early skeletal release in the infant with craniofacial dysostosis: the role of the sphenozygomatic suture. Plast Reconstr Surg. 1978; 62(3):335-46. DOI: 10.1097/00006534-197809000-00001. View

11.

Friede H, Figueroa A, Naegele M, Gould H, Kay C, ADUSS H . Craniofacial growth data for cleft lip patients infancy to 6 years of age: potential applications. Am J Orthod Dentofacial Orthop. 1986; 90(5):388-409. DOI: 10.1016/0889-5406(86)90005-3. View

12.

Friede H, Lilja J, Lauritzen C, Andersson H, JOHANSON B . Skull morphology after early craniotomy in patients with premature synostosis of the coronal suture. Cleft Palate J. 1986; 23 Suppl 1:1-8. View

13.

Marchac D, Renier D . Cranio-facial surgery for cranio-synostosis. Scand J Plast Reconstr Surg. 1981; 15(3):235-43. DOI: 10.3109/02844318109103441. View

14.

Resnick D, Pollack I, Albright A . Surgical management of the cloverleaf skull deformity. Pediatr Neurosurg. 1995; 22(1):29-37; discussion 238. DOI: 10.1159/000121296. View

15.

Burdi A, Kusnetz A, Venes J, Gebarski S . The natural history and pathogenesis of the cranial coronal ring articulations: implications in understanding the pathogenesis of the Crouzon craniostenotic defects. Cleft Palate J. 1986; 23(1):28-39. View

16.

Baumrind S, Frantz R . The reliability of head film measurements. 1. Landmark identification. Am J Orthod. 1971; 60(2):111-27. DOI: 10.1016/0002-9416(71)90028-5. View