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At least 163 records · Page 9Linked to original sources

A method for integrating facial cephalometry and corrected lateral tomography of the temporomandibular joint.

OBJECTIVES: To test the validity of an indirect method for obtaining the Frankfort horizontal (FH) plane and transferring it from the originating cephalogram to a tomogram. METHODS: One hundred and fifty-two corrected lateral tomograms from 38 individuals, taken before and after treatment, were used for this study. The tomograms were scanned and digitized. The angle between the FH plane and the long axis of the pterygopalatine fossa was measured on the reciprocal cephalograms. In addition, a tangent was drawn at the uppermost point of the glenoid fossa and parallel to the upper border of the film. Common variables regarding these two planes were measured and compared. RESULTS: It was found that the tangent to the fossa roof, parallel to the superior border of the film, did not coincide with the transferred cephalometric FH plane. Statistically significant differences were found between all variables for the two groups. CONCLUSIONS: In cases where integration of cephalometric and tomographic measurements are needed, the drawing of a tangent on the roof of the fossa is not a reliable method.

Bicuspid↗

A method for correction of radiographic errors in serial three-dimensional cephalometry.

OBJECTIVES: To improve the accuracy of location of anatomical structures in serial three-dimensional (3D) cephalometric radiography. METHODS: A new method was developed to correct for geometrical errors in the calculation of the 3D coordinates of a point viewed on any two of three frontal, lateral and axial cephalometric radiographs. A computer-based method was used to reduce measurement errors. The methods were tested on a phantom containing metallic markers and on a dried skull. RESULTS: The mean corrected geometric error was 0.43 mm (SD 0.25 mm) compared with a maximum of 8 mm (SD 0.2 mm) when calculated directly from the radiographs. The mean computer-based measurement error was 0.46 mm (SD 0.34 mm) compared with 1.38 mm (SD 0.74 mm) when made directly from the radiographs. CONCLUSIONS: The new method for the correction of radiographic errors in 3D serial cephalometric radiography appears to be sufficiently accurate to justify clinical evaluation.

Algorithms↗

Three-dimensional computed tomography cephalometry of plagiocephaly: asymmetry and shape analysis.

OBJECTIVE: To investigate facial asymmetry associated with both deformational and synostotic plagiocephaly and to identify variables based on skeletal landmarks that distinguish the conditions and quantify severity. DESIGN: Retrospective, cross sectional. SETTING: Australian Craniofacial Unit, Adelaide. MAIN OUTCOME MEASURES: Proportional differences between bilateral distances and principal component (PC) analysis of the skeletal landmarks. PATIENTS: The three-dimensional positions of 78 osseous landmarks were determined from computed tomography (CT) scans of 21 patients with deformational plagiocephaly (DP), 20 patients with unilateral coronal synostosis (UCS), and 2 patients with unilateral lambdoid synostosis (ULS). RESULTS: For both DP and UCS, significant asymmetry was found for the orbital depths, mandibular lengths, maxillary depths, zygomatic arch lengths, lateral base of the parietal bone, and the angle between the anterior and the posterior cranial base projected onto the axial plane. The small sample size for ULS precluded definitive statistical statements but allowed some useful comparisons with the other conditions. The first three PC scores were able to distinguish among the three conditions and which side was affected. CONCLUSIONS: The asymmetry of the cranial base and facial structures, arising from localized abnormality or deformational forces in either the frontal or the occipital regions, can be quantified by a plethora of bilateral features or summarized by PC analysis.

Cephalometry↗

Three-dimensional fetal cephalometry.

Craniofacial growth has been the subject of numerous studies in which different techniques have been elaborated aiming to model this dynamic phenomenon in a rational manner. One of the methods employed is cephalometric analysis applied to the fetus. Generally, however, these studies are confined to the exploration of a single spatial plane (sagittal plane), whose orientation is never defined in a rigorous and perfectly reproducible manner. Thus, none of these analyses offers a formal growth model. This has led us to propose a new method of fetal cephalometric study taking into account criteria for proper reproducible analysis: spatial exploration of the head performed through three-dimensional tomodensitometric images and precise location of landmarks and reproducibility of the orientation of each image, which is assured by reference to the vestibular orientation (based on the external semicircular canals), as has been described by Girard and Perez and further developed by Fenart. When the labyrinth is developed, this orientation does not change during the growth stages of the head, even with craniofacial deformities. This permits application of this orientation on fetuses and the superposition of images of different subjects. The methodology is presented using two normal human fetuses, and the advantages of this computerized tool are discussed.

Cephalometry↗

Assessment of the nasopharyngeal area by cephalometry in cases of cleft lip and palate.

The nasopharyngeal area in 149 patients with cleft lip and palate and 157 normal individuals was evaluated by cephalometric radiography. The patients were male and female Caucasians, ranging in age from 12 to 16 years. Linear cephalometric parameters: (Ptm'-Sl; Ptm'-IPPF; IPPF-I, I-Ptm'), ANS angle and nasopharyngeal area were utilized. From comparative analysis of nasopharyngeal area in the cleft and the control groups, the following conclusions were made: 1) The nasopharyngeal area was smaller in the cleft group. 2) There was no correlation between ANS angle and nasopharyngeal area in either group.

Adolescent↗

[Cephalometry].

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Adolescent↗

[3D cephalometry].

The Cepha3DT software is used to generate a 3D model of the human face.

Cephalometry↗