caa a22 4500 475755189 CHVBK 20191106093404.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s002470000343 doi (NATIONALLICENCE)springer-10.1007/s002470000343 Three-dimensional spiral CT of craniofacial malformations in children [Elektronische Daten] [S. Binaghi, F. Gudinchet, B. Rilliet] Objective. To assess the value of three-dimensional CT (3D CT) in the diagnosis and management of suspected paediatric craniofacial malformations.¶Materials and methods. Twenty-eight children (12 girls, 16 boys) with a mean age of 4 years, suffering from craniofacial or cervical malformations, underwent craniofacial spiral CT. 3D reformatting was performed using an independent workstation.¶Results. 3D CT allowed the preoperative evaluation of 16 patients with craniosynostosis and the post-surgical management of 2 patients. 3D CT clearly depicted malformations of the skull base involving the petrous bone in seven patients (four cases of Goldenhar-Gorlin syndrome, one case of Treacher-Collins syndrome and two cases of Crouzon's disease). Four patients with craniofacial clefts were also evaluated. Radiological findings were confirmed by the clinical and intraoperative findings in all patients that underwent surgical treatment. Movement artefacts and "Lego effect” related to abrupt change of cranial vault border were encountered and are discussed.¶Conclusions. 3D CT of the skull can safely and reliably identify paediatric craniofacial malformations involving bone, and it should be used as morphological mapping to help the surgeon in planning surgical treatment. Springer-Verlag Berlin Heidelberg, 2000 Binaghi S. Department of Radiology, University Hospital of Lausanne, CHUV, 1011 Lausanne, Switzerland, CH aut Gudinchet F. Department of Radiology, University Hospital of Lausanne, CHUV, 1011 Lausanne, Switzerland, CH aut Rilliet B. Department of Neurosurgery, University Hospital of Lausanne, 1011 Lausanne, Switzerland, CH aut https://doi.org/10.1007/s002470000343 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470000343 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Binaghi S. Department of Radiology, University Hospital of Lausanne, CHUV, 1011 Lausanne, Switzerland, CH aut NATIONALLICENCE 700 1- Gudinchet F. Department of Radiology, University Hospital of Lausanne, CHUV, 1011 Lausanne, Switzerland, CH aut NATIONALLICENCE 700 1- Rilliet B. Department of Neurosurgery, University Hospital of Lausanne, 1011 Lausanne, Switzerland, CH aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence SWISSBIB 361971354 BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer