The fourth dimension in simulation surgery for craniofacial surgical procedures.
The intracranial volume was measured in all 18 cases of craniosynostosis and craniofacial synostosis with 3DCT using a modification of Miyake's formula, with a 6 years' follow-up. 1: There were no cases where the intracranial volume was less than the modified Miyake's formula. 2: Total cranial reshaping, compared to the local forehead advancement, was effective in increasing the intracranial cavity and growth postoperatively. 3: In cases of craniofacial synostosis, there is a possibility that mental retardation will develop if the intracranial volume tends to increase rapidly and more than expected.
Kurihara
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Department of Plastic Surgery, School of Medicine, Tokorozawa, Japan. higatoko@juno.ocn.ne.jp
D002657:Child Development; D002675:Child, Preschool; D003198:Computer Simulation; D019465:Craniofacial Abnormalities / Q000473:pathology / Q000601:surgery*; D005147:Facial Bones / Q000033:anatomy & histology / Q000254:growth & development; D006801:Humans; D007223:Infant; D008953:Models, Anatomic; D019651:Plastic Surgery Procedures; D012886:Skull / Q000033:anatomy & histology / Q000254:growth & development; D025321:Surgery, Computer-Assisted; D013997:Time Factors