Analysis of Airway and Midface in Crouzon Syndromes

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFORTE, Antonio J.
dc.contributor.authorLU, Xiaona
dc.contributor.authorHASHIM, Peter W.
dc.contributor.authorSTEINBACHER, Derek M.
dc.contributor.authorALPEROVICH, Michael
dc.contributor.authorPERSING, John A.
dc.contributor.authorALONSO, Nivaldo
dc.date.accessioned2019-09-23T14:15:13Z
dc.date.available2019-09-23T14:15:13Z
dc.date.issued2019
dc.description.abstractBackground: Crouzon syndrome is associated with severe respiratory impairment of the upper airway due in part to midfacial dysmorphology. We calculated the distinctive nasal diameter and pharyngeal airway volume in patients with Crouzon syndrome and compared them with age-matched control subjects. Methods: Children with computed tomography scans in the absence of surgical intervention were included. Computed tomography scans were digitized and manipulated using Surgicase CMF (Materialise). Craniometric data relating to the midface and airway were collected. For all linear measurements, mean percent increases or decreases were calculated relative to the size of control subjects, and volumetric assessment of the airway was tabulated. Statistical analysis was performed using t test. Results: Twenty-six computed tomography scans were included (control n = 17, Crouzon n = 9). All children were in early mixed dentition. Pharyngeal airway volume was decreased in patients with Crouzon syndrome relative to control subjects by 46% (P = 0.003). The distance from the posterior tongue to the posterior pharyngeal wall decreased 31% when comparing the Crouzon group versus the control (P = 0.04). Conclusions: Three-dimensional analysis revealed notably decreased pharyngeal and nasal airway volumes in patients with Crouzon syndrome, but nasal bone tissue and soft tissue measurements showed very little change between patients and control subjects.eng
dc.description.indexMEDLINEeng
dc.identifier.citationANNALS OF PLASTIC SURGERY, v.82, n.6, p.686-691, 2019
dc.identifier.doi10.1097/SAP.0000000000001740
dc.identifier.eissn1536-3708
dc.identifier.issn0148-7043
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/33387
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINSeng
dc.relation.ispartofAnnals of Plastic Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.subjectairwayeng
dc.subjectCrouzon syndromeeng
dc.subjectmidfaceeng
dc.subject.otherobstructive sleep-apneaeng
dc.subject.otherfort iii distractioneng
dc.subject.other3-dimensional evaluationeng
dc.subject.othercraniosynostosiseng
dc.subject.othervolumeeng
dc.subject.otheraperteng
dc.subject.otherreconstructioneng
dc.subject.otheradvancementeng
dc.subject.otherchildreneng
dc.subject.otherdysmorphologyeng
dc.subject.wosSurgeryeng
dc.titleAnalysis of Airway and Midface in Crouzon Syndromeseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryChina
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisocn
hcfmusp.author.externalFORTE, Antonio J.:Mayo Clin, Div Plast Surg, Jacksonville, FL 32224 USA
hcfmusp.author.externalLU, Xiaona:Chinese Acad Med Sci, Peking Union Med Coll, Plast Surg Hosp, Beijing, Peoples R China
hcfmusp.author.externalHASHIM, Peter W.:Yale Sch Med, Sect Plast & Reconstruct Surg, 330 Cedar St,3rd Floor,Boardman Bldg, New Haven, CT 06520 USA
hcfmusp.author.externalSTEINBACHER, Derek M.:Yale Sch Med, Sect Plast & Reconstruct Surg, 330 Cedar St,3rd Floor,Boardman Bldg, New Haven, CT 06520 USA
hcfmusp.author.externalALPEROVICH, Michael:Yale Sch Med, Sect Plast & Reconstruct Surg, 330 Cedar St,3rd Floor,Boardman Bldg, New Haven, CT 06520 USA
hcfmusp.author.externalPERSING, John A.:Yale Sch Med, Sect Plast & Reconstruct Surg, 330 Cedar St,3rd Floor,Boardman Bldg, New Haven, CT 06520 USA
hcfmusp.citation.scopus16
hcfmusp.contributor.author-fmusphcNIVALDO ALONSO
hcfmusp.description.beginpage686
hcfmusp.description.endpage691
hcfmusp.description.issue6
hcfmusp.description.volume82
hcfmusp.origemWOS
hcfmusp.origem.pubmed30633021
hcfmusp.origem.scopus2-s2.0-85066060760
hcfmusp.origem.wosWOS:000480728400019
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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