Cargando…
Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis
OBJECTIVE: To evaluate the craniofacial asymmetry in adults with neglected congenital muscular torticollis (CMT) by quantitative assessment based on craniofacial three-dimensional computed tomography (3D-CT). METHODS: Preoperative craniofacial asymmetry was measured by 3D-CT for 31 CMT subjects ≥18...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Academy of Rehabilitation Medicine
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4496516/ https://www.ncbi.nlm.nih.gov/pubmed/26161351 http://dx.doi.org/10.5535/arm.2015.39.3.440 |
_version_ | 1782380418627010560 |
---|---|
author | Jeong, Kil-Yong Min, Kyung-Jay Woo, Jieun Yim, Shin-Young |
author_facet | Jeong, Kil-Yong Min, Kyung-Jay Woo, Jieun Yim, Shin-Young |
author_sort | Jeong, Kil-Yong |
collection | PubMed |
description | OBJECTIVE: To evaluate the craniofacial asymmetry in adults with neglected congenital muscular torticollis (CMT) by quantitative assessment based on craniofacial three-dimensional computed tomography (3D-CT). METHODS: Preoperative craniofacial asymmetry was measured by 3D-CT for 31 CMT subjects ≥18 years of age who visited a tertiary medical center and underwent 3D-CT between January 2009 and December 2013. The relationship between the age and the severity of craniofacial asymmetry was analyzed in reference to anteroposterior length asymmetry of the frontal bone and zygomatic arch, vertical and lateral displacements of the facial landmarks, and mandibular axis rotation. RESULTS: The age at CT was 27.71±7.02 years (range, 18-44 years). All intra-class correlation coefficients were higher than 0.7, suggesting good inter-rater reliability (p<0.05) of all the measurements. The frontal and the zygomatic length ratio (i.e., the anteroposterior length asymmetry on the axial plane) was 1.06±0.03 and 1.07±0.03, respectively, which was increased significantly with age in the linear regression analysis (r(2)=0.176, p=0.019 and r(2)=0.188, p=0.015, respectively). The vertical or lateral displacement of the facial landmarks and rotation of the mandibular axis did not significantly correlate with age (p>0.05). CONCLUSION: Craniofacial asymmetry of neglected CMT became more severe with age in terms of anteroposterior length asymmetry of the ipsilateral frontal bone and zygomatic arch on the axial plane even after growth cessation. This finding may enhance the understanding of therapeutic strategies for craniofacial asymmetry in adults with neglected CMT. |
format | Online Article Text |
id | pubmed-4496516 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-44965162015-07-09 Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis Jeong, Kil-Yong Min, Kyung-Jay Woo, Jieun Yim, Shin-Young Ann Rehabil Med Original Article OBJECTIVE: To evaluate the craniofacial asymmetry in adults with neglected congenital muscular torticollis (CMT) by quantitative assessment based on craniofacial three-dimensional computed tomography (3D-CT). METHODS: Preoperative craniofacial asymmetry was measured by 3D-CT for 31 CMT subjects ≥18 years of age who visited a tertiary medical center and underwent 3D-CT between January 2009 and December 2013. The relationship between the age and the severity of craniofacial asymmetry was analyzed in reference to anteroposterior length asymmetry of the frontal bone and zygomatic arch, vertical and lateral displacements of the facial landmarks, and mandibular axis rotation. RESULTS: The age at CT was 27.71±7.02 years (range, 18-44 years). All intra-class correlation coefficients were higher than 0.7, suggesting good inter-rater reliability (p<0.05) of all the measurements. The frontal and the zygomatic length ratio (i.e., the anteroposterior length asymmetry on the axial plane) was 1.06±0.03 and 1.07±0.03, respectively, which was increased significantly with age in the linear regression analysis (r(2)=0.176, p=0.019 and r(2)=0.188, p=0.015, respectively). The vertical or lateral displacement of the facial landmarks and rotation of the mandibular axis did not significantly correlate with age (p>0.05). CONCLUSION: Craniofacial asymmetry of neglected CMT became more severe with age in terms of anteroposterior length asymmetry of the ipsilateral frontal bone and zygomatic arch on the axial plane even after growth cessation. This finding may enhance the understanding of therapeutic strategies for craniofacial asymmetry in adults with neglected CMT. Korean Academy of Rehabilitation Medicine 2015-06 2015-06-30 /pmc/articles/PMC4496516/ /pubmed/26161351 http://dx.doi.org/10.5535/arm.2015.39.3.440 Text en Copyright © 2015 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Jeong, Kil-Yong Min, Kyung-Jay Woo, Jieun Yim, Shin-Young Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis |
title | Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis |
title_full | Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis |
title_fullStr | Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis |
title_full_unstemmed | Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis |
title_short | Craniofacial Asymmetry in Adults With Neglected Congenital Muscular Torticollis |
title_sort | craniofacial asymmetry in adults with neglected congenital muscular torticollis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4496516/ https://www.ncbi.nlm.nih.gov/pubmed/26161351 http://dx.doi.org/10.5535/arm.2015.39.3.440 |
work_keys_str_mv | AT jeongkilyong craniofacialasymmetryinadultswithneglectedcongenitalmusculartorticollis AT minkyungjay craniofacialasymmetryinadultswithneglectedcongenitalmusculartorticollis AT woojieun craniofacialasymmetryinadultswithneglectedcongenitalmusculartorticollis AT yimshinyoung craniofacialasymmetryinadultswithneglectedcongenitalmusculartorticollis |