Three-dimensional computer morphometry of the maxilla and face in infants with Pierre Robin sequence--a comparative study.

Abstract:

OBJECTIVE:To analyze the morphology of the maxillary crest in infants with Pierre Robin sequence using an anthropometric coordinate system and to compare the data with those of healthy infants. SETTING:The study was performed at a craniofacial center servicing a large geographic area. PARTICIPANTS:The study involved eight infants aged 1-28 days (average, 7 days) with an established diagnosis of Pierre Robin sequence and six healthy infants aged 1-43 days (average, 22 days). MAIN OUTCOME MEASURES:Physical models of the maxilla and face obtained by alginate replication were analyzed by computer morphometry yielding the three-dimensional topology of the maxillary crest. RESULTS:The maxillary crest of children with Pierre Robin sequence shows an increased inclination relative to the transverse plane (30 +/- 3.9 degrees) as compared with that of healthy infants (20 +/- 2.9 degrees). The maxillary crest of the patients is shortened in the sagittal direction by comparison with healthy controls. CONCLUSIONS:The increased inclination of the maxilla in infants with Pierre Robin sequence may aggravate the retroposition of the mandible and may thus be a pathogenetic factor contributing to the severe respiratory problems.

authors

Bacher M,Bacher U,Göz G,Pham T,Cornelius CP,Speer CP,Goelz R,Arand J,Wendling F,Buchner P,Bacher A

doi

10.1597/1545-1569_2000_037_0292_tdcmot_2.3.co_2

keywords:

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

292-302

issue

3

eissn

1055-6656

issn

1545-1569

journal_volume

37

pub_type

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