Objective techniques for craniofacial assessment: What are the choices?

Allanson, Judith

doi:10.1002/(sici)1096-8628(19970502)70:1<1::aid-ajmg1>3.0.co;2-3

Cited by 65 publications

(54 citation statements)

References 34 publications

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“…For CFA, 22 variables were selected to represent craniofacial widths, lengths, depths, and circumference, as described by Allanson. 11 Measurements were recorded to the nearest 0.5 mm using sliding and spreading blunt-ended calipers and a paper metric tape measure. Population norms for each dimension were derived from measurements in healthy 25-yearold North American white adults.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Familial eosinophilia: a benign disorder?

Klion

Law

Riemenschneider

et al. 2004

Blood

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Section: Clinical Evaluationmentioning

confidence: 99%

Familial eosinophilia: a benign disorder?

Klion

Law

Riemenschneider

et al. 2004

Blood

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“…The element of subjectivity in the diagnosis of some syndromes especially at the mild end of a syndrome's spectrum has resulted in more objective diagnostic approaches such as photogrammetry and anthropometrics. Photogrammetry uses objective measurements from standardized photographs, and anthropometry from standardized physical landmarks, to assess patients objectively [17,18].…”

Section: Examination Of Previous Records and Photographsmentioning

confidence: 99%

DysmorphicNeonate: An Approach to Diagnosis in The Current Era

Tewari¹,

Mehta²,

Tewari³

2016

Pediatr Dimensions

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A dysmorphic neonate is a cause of concern and anxiety for the parents and the physician. Making a clinical diagnosis allows a targeted search for a genetic aetiology in order to correctly delineate the healthcare requirements of the infant and also allows the parents to search for and join a 'support group'. It allows a more accurate estimate of the risk of recurrence and therefore allows genetic counselling. It allows prognostication and permits interventions that may prevent, anticipate or more successfully treat complications. The approach to a dysmorphic neonate is similar to making a diagnosis of a neonate with any systemic illness and relies on a detailed history, a meticulous clinical examination, identifying a syndrome based on a combination of signs, or sometimes 'by gestalt'. Cytogenetics and molecular techniques improve our ability to make precise syndrome diagnoses. Eventhough there is a certain degree of urgency in making a diagnosis in a dysmorphic neonate, a snap diagnosis should never be made. Around 4,000 malformation syndromes have now been delineated and many are associated with medical problems. Thus making a specific syndrome diagnosis can influence immediate medical management. A detailed history, a physical examination for detailing the major and minor anomalies, recording the growth, examination of previous records and photographs are complemented by cytogenetics and molecular genetic techniques in achieving a diagnosis. Familiarity with dysmorphology databases and cross referencing the anomalies especially the rarer ones helps in narrowing the differential diagnosis.

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“…9 A anatomia da superfície da face da criança fornece importantes indicadores do crescimento facial e de patologias que possam causar alterações do seu contorno. [10][11][12] Sendo conhecidos os efeitos adversos das radiações ionizantes 13,14 e a particular sensibilidade das crianças às mesmas, o pedido de exames imagiológicos, nomeadamente para o estudo do crescimento facial, deve ter indicações precisas: deve servir para confirmar o diagnóstico clínico, para programação de tratamento ortopédico ou ortodôntico, ou ser pedido por suspeição clínica de anomalia. O exame clínico deve ser o método de eleição, para avaliar o crescimento e o desenvolvimento orofacial da criança, até ao momento da indicação do exame complementar imagiológico.…”

Section: Introductionunclassified

Apresentação do Método Anátomo-Clínico de Faciometria Directa em Crianças com Objectivos Propedêuticos

Furtado

Agostinho

2014

Acta Med Port

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Introduction:We introduce the concept of direct faciometrics with propaedeutic purpose, underlying the measurement of growth in infant face, with relevant advantages over other methods. Material and Methods:We observed 102 healthy Caucasian children of both gender, aged up to 14 years (included) who accessed the consultation of Pediatric Stomatology of Lisboa-Norte Hospital Centre, from May 1, 2011 and during one year. We evaluated the degree of facial growth and its characteristics, based on linear and angle measurements obtained from reference points located on facial surface. Systematic records in front and profile were performed; linear and angle measures were noted with respectively a digital caliper and a digital goniometer. We used the statistical method of applying correlation tables and ANOVA test of two factors. Results:We deliver results and constructed growth curves. Discussion: We observed a growth spurt of anteroposterior face until the age of 6, which continues attenuated until the aged of 9. From 9 to 12 years old there has been a new growth spurt, which becomes residual from this age on. There were no significant changes in age angle mean values or gender differences in facial growth. The inter-observer error was 0.62 mm for linear values and 2.65 degrees for angle values.Conclusions: This is a reliable method, without image or radiation, non-invasive, simple, inexpensive and reproducible. Recommended for use in Pediatric Dentistry and Pediatrics, constituting a semiological resource that allows an early diagnosis of facial growth abnormalities in children, and hence their timely interception and correction. Keywords: Anthropometry; Anatomy; Child; Cephalometry; Face. INTRODUÇÃOO termo faciometria foi introduzido na literatura mé-dica em 1996 por El-Mangoury, 1 integrado no método cefalométrico não radiográfico que propunha, para utilização na análise facial. Na faciometria é efectuada uma avaliação visual da face do doente e realizadas medições através de procedimentos directos, como os que propomos, quer através de medições realizadas em fotografias, por meios manuais ou computadorizados.1-7 A faciometria directa propedêutica é uma técnica de mensuração vectorial, linear e angular realizada na superfície da face do doente, a partir de pontos antropométricos pré-definidos, que permite obter dados semiológicos importantes sobre a quantidade e característi-cas do crescimento facial das crianças. Como o próprio nome indica, as medições são feitas directamente no doente, e permitem confirmar evidências semiológicas, tendo por esse facto objectivos predominantemente propedêuticos.A superfície do crânio e da face, nomeadamente o seu contorno, reflectem o padrão de crescimento. [2][3][4][5]

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Objective techniques for craniofacial assessment: What are the choices?

Cited by 65 publications

References 34 publications

Familial eosinophilia: a benign disorder?

Familial eosinophilia: a benign disorder?

DysmorphicNeonate: An Approach to Diagnosis in The Current Era

Apresentação do Método Anátomo-Clínico de Faciometria Directa em Crianças com Objectivos Propedêuticos

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