Over the last decade, physicians have noted a rise in the prevalence of plagiocephaly. This sudden increase combined with the variability in presentation of infant head deformities makes the management of these cases often difficult. Currently, assessment for treatment is solely based largely on subjective determination of the severity of the patients skull malformation. Existing cephalometric techniques, such as external caliper measurements are commonly used, however these technique still contain inaccuracies, due to movement of an infant during measurement, soft tissue compression by the calipers, and lack of precise defined landmarks. (10) Given that no type of normalized measurement exists to identify objectively the severity of a patients skull deformity, the grading and selection of treatment modality has been relegated largely to experienced plastic surgeons and neurosurgeons. We report of a novel measurement that utilizes both CT scan and digital images combined with basic geometry to determine, objectively, the severity of an infants skull deformity, enabling all physicians to better decide what therapeutic intervention to employ.
| Identifer | oai:union.ndltd.org:YALE_med/oai:ymtdl.med.yale.edu:etd-05082009-125520 |
| Date | 23 November 2009 |
| Creators | Fadl, Samer M |
| Contributors | John A. Persing, M.D., F.A.C.S. |
| Publisher | Yale University |
| Source Sets | Yale Medical student MD Thesis |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://ymtdl.med.yale.edu/theses/available/etd-05082009-125520/ |
| Rights | restricted, I hereby grant to the Yale School of Medicine the non-exclusive license to photocopy, archive and make accessible, under the conditions specified below, my print and electronic thesis, in whole or in part, in all forms of media. <p> I agree that the Yale School of Medicine may electronically store, copy or translate my thesis to any medium or format for the purpose of preservation and accessibility. The Yale School of Medicine is not under obligation to reproduce or display my thesis in the same format in which it was originally deposited. <p> I retain all ownership rights to the thesis, including but not limited to the right to use in future works (such as articles and books) all or part of this thesis. |
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