Skip to main content
Top
Published in: Child's Nervous System 8/2009

01-08-2009 | Technical Note

BaS analysis: a new cephalometric study for craniofacial malformations

Authors: Sandro Pelo, Laura Cacucci, Roberto Boniello, Alessandro Moro, Roberto Deli, Cristina Grippaudo, Concezio Di Rocco, Gianpiero Tamburrini, Luca Massimi, Massimo Caldarelli, Giulio Gasparini

Published in: Child's Nervous System | Issue 8/2009

Login to get access

Abstract

Object

Patients submitted to surgical advancement of the upper and middle facial third might have a relapse of the skeletal retraction after the removal of the distractor devices. Clinical signs related to this process are usually represented by exophthalmos, Obstructive sleep apnea syndrome (OSAS) or prognathism; however, the analytic definition of the relapse is very difficult , conventional cephalometric methods being influenced by the spatial movement of “N” (nasion) or “Or” (orbital) points. The authors present a new cephalometric technique that could be used as a more objective mean of follow-up evaluation of patients undergoing craniofacial advancement.

Materials and methods

The cephalometric analysis proposed is based on angles, lines, areas and distances between BaS (Basion-Sella) axis and other craniofacial landmark points. We have defined this cephalometric technique as “BaS Analysis”.

Conclusion

The “BaS analysis” is not influenced by splanchnocranium movements in the space; for this reason, it can be considered a useful method for cephalometric analysis in the follow-up of patients with craniofacial malformations.
Literature
1.
go back to reference Tessier P, Guiot G, Rougerie J et al (1967) Cranio-naso-orbito-facial osteotomies Hypertelorism. Ann Chir Plast 12(2):103–118PubMed Tessier P, Guiot G, Rougerie J et al (1967) Cranio-naso-orbito-facial osteotomies Hypertelorism. Ann Chir Plast 12(2):103–118PubMed
2.
go back to reference Marchac D, Cophignon J, Neulen JV (1974) Osteotomy for advancement of the face and skull. Ann Chir Plast 19(4):311–323PubMed Marchac D, Cophignon J, Neulen JV (1974) Osteotomy for advancement of the face and skull. Ann Chir Plast 19(4):311–323PubMed
3.
go back to reference Converse JM, Wood-Smith D, McCarthy JG et al (1974) Craniofacial surgery. Clin Plast Surg 1(3):499–557PubMed Converse JM, Wood-Smith D, McCarthy JG et al (1974) Craniofacial surgery. Clin Plast Surg 1(3):499–557PubMed
4.
go back to reference McCarthy JG, Coccaro PJ, Eptstein F et al (1978) Early skeletal release in the infant with craniofacial dysostosis: the role of the sphenozygomatic suture. Plast Reconstr Surg 62(3):335–346PubMedCrossRef McCarthy JG, Coccaro PJ, Eptstein F et al (1978) Early skeletal release in the infant with craniofacial dysostosis: the role of the sphenozygomatic suture. Plast Reconstr Surg 62(3):335–346PubMedCrossRef
5.
go back to reference Ortiz-Monasterio F, del Campo AF, Carrillo A (1978) Advancement of the orbits and the midface in one piece, combined with frontal repositioning, for the correction of Crouzon's deformities. Plast Reconstr Surg 61(4):507–516PubMed Ortiz-Monasterio F, del Campo AF, Carrillo A (1978) Advancement of the orbits and the midface in one piece, combined with frontal repositioning, for the correction of Crouzon's deformities. Plast Reconstr Surg 61(4):507–516PubMed
6.
go back to reference Arnaud E, Marchac D, Renier D (2001) Distraction osteogenesis with double internal devices combined with early frontal facial advancement for the correction of facial craniosynostosis. Report of clinical cases. Ann Chir Plast Esthet 46(4):268–276PubMedCrossRef Arnaud E, Marchac D, Renier D (2001) Distraction osteogenesis with double internal devices combined with early frontal facial advancement for the correction of facial craniosynostosis. Report of clinical cases. Ann Chir Plast Esthet 46(4):268–276PubMedCrossRef
7.
go back to reference Witherow H, Thiessen F, Evans R et al (2008) Relapse following frontofacial advancement using the rigid external distractor. J Craniofac Surg 19(1):113–120PubMed Witherow H, Thiessen F, Evans R et al (2008) Relapse following frontofacial advancement using the rigid external distractor. J Craniofac Surg 19(1):113–120PubMed
8.
go back to reference Jensen JN, McCarthy JG, Grayson BH et al (2007) Bone deposition/generation with LeFort III (midface) distraction. Plast Reconstr Surg 119(1):298–307PubMedCrossRef Jensen JN, McCarthy JG, Grayson BH et al (2007) Bone deposition/generation with LeFort III (midface) distraction. Plast Reconstr Surg 119(1):298–307PubMedCrossRef
9.
go back to reference Lippold C, Danesh G, Meyer U et al (2005) Potential and limitations of cephalometric analysis of maxillofacial bone movement in the case of Le Fort III-distraction. J Orofac Orthop 66(5):388–396PubMedCrossRef Lippold C, Danesh G, Meyer U et al (2005) Potential and limitations of cephalometric analysis of maxillofacial bone movement in the case of Le Fort III-distraction. J Orofac Orthop 66(5):388–396PubMedCrossRef
10.
go back to reference Pelo S, Tassiello S, Boniello R et al (2006) A new method for assessment of craniofacial malformations. J Craniofac Surg 17(6):1035–1039PubMedCrossRef Pelo S, Tassiello S, Boniello R et al (2006) A new method for assessment of craniofacial malformations. J Craniofac Surg 17(6):1035–1039PubMedCrossRef
11.
go back to reference Altobelli DE, Kikinis R, Mulliken JB et al (1993) Computer-assisted threedimensional planning in craniofacial surgery. Plast Reconstr Surg 92(4):576–585, discussion 586-587PubMedCrossRef Altobelli DE, Kikinis R, Mulliken JB et al (1993) Computer-assisted threedimensional planning in craniofacial surgery. Plast Reconstr Surg 92(4):576–585, discussion 586-587PubMedCrossRef
12.
go back to reference Metzger MC, Hohlweg-Majert B, Schön R et al (2007) Verification of clinical precision after computer-aided reconstruction in craniomaxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104(4):e1–e10PubMedCrossRef Metzger MC, Hohlweg-Majert B, Schön R et al (2007) Verification of clinical precision after computer-aided reconstruction in craniomaxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104(4):e1–e10PubMedCrossRef
13.
go back to reference Meazzini MC, Mazzoleni F, Caronni E et al (2005) Le Fort III advancement osteotomy in the growing child affected by Crouzon 's and Apert's syndromes: presurgical and postsurgical growth. J Craniofac Surg 16(3):369–377PubMedCrossRef Meazzini MC, Mazzoleni F, Caronni E et al (2005) Le Fort III advancement osteotomy in the growing child affected by Crouzon 's and Apert's syndromes: presurgical and postsurgical growth. J Craniofac Surg 16(3):369–377PubMedCrossRef
14.
go back to reference Kreiborg S, Aduss H (1986) Pre- and postsurgical facial growth in patients with Crouzon's and Apert's syndromes. Cleft Palate J 23(Suppl 1):78–90PubMed Kreiborg S, Aduss H (1986) Pre- and postsurgical facial growth in patients with Crouzon's and Apert's syndromes. Cleft Palate J 23(Suppl 1):78–90PubMed
15.
go back to reference Bachmayer DI, Ross RB (1986) Stability of Le Fort III advancement surgery in children with Crouzon's, Apert's, and Pfeiffer's syndromes. Cleft Palate J 23(Suppl 1):69–74PubMed Bachmayer DI, Ross RB (1986) Stability of Le Fort III advancement surgery in children with Crouzon's, Apert's, and Pfeiffer's syndromes. Cleft Palate J 23(Suppl 1):69–74PubMed
16.
go back to reference Kaban LB, Conover M, Mulliken JB (1986) Midface position after Le Fort III advancement: a long-term follow-up study. Cleft Palate J 23(Suppl 1):75–77PubMed Kaban LB, Conover M, Mulliken JB (1986) Midface position after Le Fort III advancement: a long-term follow-up study. Cleft Palate J 23(Suppl 1):75–77PubMed
17.
go back to reference Ousterhout DK, Vargervik K, Clark S (1986) Stability of the maxilla after Le Fort III advancement in craniosynostosis syndromes. Cleft Palate J 23(Suppl 1):91–101PubMed Ousterhout DK, Vargervik K, Clark S (1986) Stability of the maxilla after Le Fort III advancement in craniosynostosis syndromes. Cleft Palate J 23(Suppl 1):91–101PubMed
Metadata
Title
BaS analysis: a new cephalometric study for craniofacial malformations
Authors
Sandro Pelo
Laura Cacucci
Roberto Boniello
Alessandro Moro
Roberto Deli
Cristina Grippaudo
Concezio Di Rocco
Gianpiero Tamburrini
Luca Massimi
Massimo Caldarelli
Giulio Gasparini
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 8/2009
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-009-0834-6

Other articles of this Issue 8/2009

Child's Nervous System 8/2009 Go to the issue