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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.authorTONELLO, Cristiano
dc.contributor.authorCEVIDANES, Lucia H. S.
dc.contributor.authorRUELLAS, Antonio C. O.
dc.contributor.authorALONSO, Nivaldo
dc.identifier.citationJOURNAL OF CRANIOFACIAL SURGERY, v.32, n.1, p.87-91, 2021
dc.description.abstractBackground: Facial advancement represents the essence of the surgical treatment of syndromic craniosynostosis. Frontofacial monobloc distraction is an effective surgical approach to correct midface retrusion although someone consider it very hazardous procedure. The authors evaluated a group of patients who underwent frontofacial monobloc distraction with the aim to identify the advancement results performed in immature skeletal regarding the midface morphologic characteristics and its effects on growth. Methods: Sixteen patients who underwent frontofacial monobloc distraction with pre- and postsurgical computed tomography (CT) scans were evaluated and compared to a control group of 9 nonsyndromic children with CT scans at 1-year intervals during craniofacial growth. Three-dimensional measurements and superimposition of the CT scans were used to evaluate midface morphologic features and longitudinal changes during the craniofacial growth and following the advancement. Presurgical growth was evaluated in 4 patients and postsurgical growth was evaluated in 9 patients. Results: Syndromic maxillary width and length were reduced and the most obtuse facial angles showed a lack in forward projection of the central portion in these patients. Three-dimensional distances and images superimposition demonstrated the age did not influence the course of abnormal midface growth. Conclusion: The syndromic midface is hypoplastic and the sagittal deficiency is associated to axial facial concavity. The advancement performed in mixed dentition stages allowed the normalization of facial position comparable to nonsyndromic group. However, the procedure was not able to change the abnormal midface architecture and craniofacial growth.eng
dc.description.sponsorshipNIDCR NIH HHSUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Dental & Craniofacial Research (NIDCR) [R01 DE024450] Funding Source: Medline
dc.relation.ispartofJournal of Craniofacial Surgery
dc.subjectCraniofacial growtheng
dc.subjectfacial advancementeng
dc.subjectfrontofacial monobloc distractioneng
dc.subjectsyndromic craniosynostosiseng
dc.titleMidface Morphology and Growth in Syndromic Craniosynostosis Patients Following Frontofacial Monobloc Distractioneng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Cristiano:Univ Sao Paulo, Craniofacial Dept, Hosp Rehabil Craniofacial Anomalies, Sao Paulo, Brazil, Lucia H. S.:Univ Michigan, Sch Dent, Dept Orthodont & Pediat Dent, Ann Arbor, MI 48109 USA, Antonio C. O.:Univ Michigan, Sch Dent, Dept Orthodont & Pediat Dent, Ann Arbor, MI 48109 USA; Univ Fed Rio de Janeiro, Rio De Janeiro, Brazil
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Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MCG
Departamento de Cirurgia - FM/MCG

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/04
LIM/04 - Laboratório de Microcirurgia

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