Featured Research

from universities, journals, and other organizations

Facial Asymmetry Persists Despite Surgery To Correct Congenital Deformity

Date:
February 26, 2008
Source:
Lifespan
Summary:
Adults and teens that underwent surgery as infants to correct a congenital condition -- known as unilateral coronal synostosis -- that causes the forehead and face to appear uneven still have a degree of facial asymmetry years later, according to new research.

Adults and teens that underwent surgery as infants to correct a congenital condition that causes the forehead and face to appear uneven still have a degree of facial asymmetry years later, according to new research led by a Hasbro Children's Hospital surgeon.

The study, published in the February issue of Plastic and Reconstructive Surgery, focused on unilateral coronal synostosis, a type of craniosynostosis, in which the bones of the skull on one side of the head fuse prematurely. Craniosynostosis, or early fusion of the cranial sutures, affects 1 in 2000 live births. During corrective surgery, known as fronto-orbital advancement, surgeons remove and reshape the bones of the forehead and upper eye sockets, replacing them in a more normal anatomic position. This is typically performed during infancy.

"Although there appears to be some lingering asymmetry years after many of these patients underwent corrective surgery, most patients and their families don't notice these differences, which do not appear to pose any significant health risks," said lead author Albert Oh, M.D., director of the craniofacial surgery program at Hasbro Children's Hospital. "Nevertheless, it's important that we understand more about this asymmetry, which could lead to improvements of the operation and further our knowledge regarding the cause of craniosynostosis."

Oh, who's also an assistant professor in the department of surgery at The Warren Alpert Medical School of Brown University, led this research while at Children's Hospital Boston and Harvard Medical School.

In the study, Oh and colleagues used three-dimensional photo technology known as photogrammetry to digitally measure the faces of adult and adolescent patients with unilateral coronal synostosis who had undergone corrective surgery during infancy. They focused on different measurements comparing one side of the face to the other.

The researchers observed that average measurements on the side of the face affected by unilateral coronal synostosis were invariably shorter in comparison to the opposite side. They also found consistent rotation of the nose and facial midline away from the side of the fusion. Interestingly, the severity of long-term postoperative facial symmetry did not depend on either age at surgery or age at follow-up.

"While this study conclusively documented persistent postoperative facial asymmetry, our study group of 15 patients was relatively small. What is really needed is a long-term prospective study comparing preoperative and postoperative facial measurements," said Oh.

Study co-authors were John B. Mulliken, M.D.; Julielynn Wong, M.D.; Eiichi Ohta, M.D.; Gary F. Rogers M.D.; and Curtis K. Deutsch, M.D., all associated with Children's Hospital Boston. The photogrammetric device used in the study -- the 3dMDface system -- was funded in part by a grant from the National Center for Research Resources, National Institutes of Health, to the Children's Hospital Boston General Clinical Research Center.


Story Source:

The above story is based on materials provided by Lifespan. Note: Materials may be edited for content and length.


Cite This Page:

Lifespan. "Facial Asymmetry Persists Despite Surgery To Correct Congenital Deformity." ScienceDaily. ScienceDaily, 26 February 2008. <www.sciencedaily.com/releases/2008/02/080226102602.htm>.
Lifespan. (2008, February 26). Facial Asymmetry Persists Despite Surgery To Correct Congenital Deformity. ScienceDaily. Retrieved April 21, 2014 from www.sciencedaily.com/releases/2008/02/080226102602.htm
Lifespan. "Facial Asymmetry Persists Despite Surgery To Correct Congenital Deformity." ScienceDaily. www.sciencedaily.com/releases/2008/02/080226102602.htm (accessed April 21, 2014).

Share This



More Health & Medicine News

Monday, April 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Breakfast Foods Are Getting Pricier

Breakfast Foods Are Getting Pricier

AP (Apr. 21, 2014) Breakfast is now being served with a side of sticker shock. The cost of morning staples like bacon, coffee and orange juice is on the rise because of global supply problems. (April 21) Video provided by AP
Powered by NewsLook.com
Nine-Month-Old Baby Can't Open His Mouth

Nine-Month-Old Baby Can't Open His Mouth

Newsy (Apr. 19, 2014) Nine-month-old Wyatt Scott was born with a rare disorder called congenital trismus, which prevents him from opening his mouth. Video provided by Newsy
Powered by NewsLook.com
'Holy Grail' Of Weight Loss? New Find Could Be It

'Holy Grail' Of Weight Loss? New Find Could Be It

Newsy (Apr. 18, 2014) In a potential breakthrough for future obesity treatments, scientists have used MRI scans to pinpoint brown fat in a living adult for the first time. Video provided by Newsy
Powered by NewsLook.com
Little Progress Made In Fighting Food Poisoning, CDC Says

Little Progress Made In Fighting Food Poisoning, CDC Says

Newsy (Apr. 18, 2014) A new report shows rates of two foodborne infections increased in the U.S. in recent years, while salmonella actually dropped 9 percent. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins