Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomography

ObjectiveConsiderable studies have focused mainly on the facial deformity of Tessier No.0 cleft with a bifid nose, but the deformity of the skull is not well understood. Therefore, our study aimed to explore the evolution of cranial dysmorphology and the chronology of Tessier No.0 cleft with a bifid...

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Main Authors: Xin Wang, Huan Wang, Jianjun You, Ruobing Zheng, Yihao Xu, Fei Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.979345/full
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author Xin Wang
Huan Wang
Jianjun You
Ruobing Zheng
Yihao Xu
Fei Fan
author_facet Xin Wang
Huan Wang
Jianjun You
Ruobing Zheng
Yihao Xu
Fei Fan
author_sort Xin Wang
collection DOAJ
description ObjectiveConsiderable studies have focused mainly on the facial deformity of Tessier No.0 cleft with a bifid nose, but the deformity of the skull is not well understood. Therefore, our study aimed to explore the evolution of cranial dysmorphology and the chronology of Tessier No.0 cleft with a bifid nose, by three-dimensional measurements.MethodsNinety-six non-surgical patients and computed tomographic scans were included (Tessier No.0 cleft with a bifid nose, n = 48; controls, n = 48) and divided into five age subgroups. Craniofacial cephalometric measurements were analyzed by Mimics software.ResultsThe widening of nasal bone was the most remarkable and persistent from 2 years old appropriately. The overall cranial base length in patients compared with controls increased 11.8% (p < 0.01) on average. The middle and posterior cranial fossa increasing accounted for most of this change. The cranial base angles also showed increased obviously. By analyzing the linear of the nasopharynx and respiratory tract, it was found that its development did not affect respiration.ConclusionsThe cranial base deformity of Tessier No.0 cleft with a bifid nose consists of the whole skull base and particularly the middle and posterior cranial base length increase. At the same time, there may be late closure of the spheno-occipital synchondrosis and sella displacement. We believe this study is unique in providing valuable data for elucidating the pathological and morphological abnormalities of skull base development in Tessier No.0 cleft with a bifid nose.
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spelling doaj.art-6d266e64bf3b499b8dd00963c4cec3292022-12-22T02:15:33ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-08-011010.3389/fped.2022.979345979345Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomographyXin WangHuan WangJianjun YouRuobing ZhengYihao XuFei FanObjectiveConsiderable studies have focused mainly on the facial deformity of Tessier No.0 cleft with a bifid nose, but the deformity of the skull is not well understood. Therefore, our study aimed to explore the evolution of cranial dysmorphology and the chronology of Tessier No.0 cleft with a bifid nose, by three-dimensional measurements.MethodsNinety-six non-surgical patients and computed tomographic scans were included (Tessier No.0 cleft with a bifid nose, n = 48; controls, n = 48) and divided into five age subgroups. Craniofacial cephalometric measurements were analyzed by Mimics software.ResultsThe widening of nasal bone was the most remarkable and persistent from 2 years old appropriately. The overall cranial base length in patients compared with controls increased 11.8% (p < 0.01) on average. The middle and posterior cranial fossa increasing accounted for most of this change. The cranial base angles also showed increased obviously. By analyzing the linear of the nasopharynx and respiratory tract, it was found that its development did not affect respiration.ConclusionsThe cranial base deformity of Tessier No.0 cleft with a bifid nose consists of the whole skull base and particularly the middle and posterior cranial base length increase. At the same time, there may be late closure of the spheno-occipital synchondrosis and sella displacement. We believe this study is unique in providing valuable data for elucidating the pathological and morphological abnormalities of skull base development in Tessier No.0 cleft with a bifid nose.https://www.frontiersin.org/articles/10.3389/fped.2022.979345/fullTessier No.0 cleft with a bifid nosecephalometriesskull basedevelopmentanalysis
spellingShingle Xin Wang
Huan Wang
Jianjun You
Ruobing Zheng
Yihao Xu
Fei Fan
Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomography
Frontiers in Pediatrics
Tessier No.0 cleft with a bifid nose
cephalometries
skull base
development
analysis
title Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomography
title_full Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomography
title_fullStr Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomography
title_full_unstemmed Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomography
title_short Craniofacial development in patients of Tessier No.0 cleft with a bifid nose using 3D computed tomography
title_sort craniofacial development in patients of tessier no 0 cleft with a bifid nose using 3d computed tomography
topic Tessier No.0 cleft with a bifid nose
cephalometries
skull base
development
analysis
url https://www.frontiersin.org/articles/10.3389/fped.2022.979345/full
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