PMID- 15611915 OWN - NLM STAT- MEDLINE DCOM- 20050124 LR - 20161124 IS - 1300-4360 (Print) IS - 1300-4360 (Linking) VI - 10 IP - 4 DP - 2004 Dec TI - [3D-CT investigation of craniofacial and cervical spine anomalies in congenital muscular torticollis]. PG - 272-9 AB - PURPOSE: To investigate the accompanied craniofacial and cervical spine anomalies in congenital muscular torticollis (CMT) with three-dimensional computerized tomography (3D-CT). MATERIALS AND METHODS: We examined six cases of CMT. Cranial and cervical 3D CT was performed in all cases. Facial midline deviation angle (FDA), upper hemifacial width, lower hemifacial width (LHFW), length of hemimandible and zygomatic arcus, posterior hemicranial width (PHCW), anterior hemicranial width and cranial base midline deviation angle (CBDA) were measured on cranial 3D-CT images. Value of orbital index was calculated. Data achieved both ipsilaterally and contralaterally were compared with paired t-test. Atlanto-axial rotation angle (AARA) and atlantodental interval (ADI) values were measured on cervical 3D-CT images. RESULTS: Ages ranged between 2-26 years with a M/F ratio of 1/5. Facial asymmetry was diagnosed in all cases and LHFW was significantly undersized when compared to contralateral side (p < 0.05). FDA was measured 5.4+/-2.0 degrees on the average. Zygomatic arcus and hemimandible were significantly undersized on the side of torticollis (p < 0.05). Occipital plagiocephaly existed in all cases and PHCW was significantly extensive on torticollis side (p < 0.05). CBDA was measured 4.5+/-1.7 degrees on the average. Rotational movement of atlas over axis was observed in all cases where the AARA was 15.0+/-7.4 degrees. ADI was lesser than 3 mm in all cases. CONCLUSION: Even occipital plagiocephaly, maxillary and orbital deformity were commonly found in cases of CMT, most dominant asymmetry was observed in lower hemifacial region, zygomatic arcus and mandible by 3D-CT imaging. Rotational movement of first cervical vertebra over the second one was determined in all cases. FAU - Ozer, Tulay AU - Ozer T AD - Zonguldak Karaelmas Universitesi Tip Fakultesi, Radyoloji Anabilim Dali, Zonguldak, Turkey. FAU - Uzun, Lokman AU - Uzun L FAU - Numanoglu, Varim AU - Numanoglu V FAU - Savranlar, Ahmet AU - Savranlar A FAU - Hosnuter, Mubin AU - Hosnuter M FAU - Gundogdu, Sadi AU - Gundogdu S LA - tur PT - Journal Article TT - Konjenital muskuler tortikolliste kranyofasiyal ve servikal vertebra anomalilerinin 3B-BT ile incelenmesi. PL - Turkey TA - Tani Girisim Radyol JT - Tanisal ve girisimsel radyoloji : Tibbi Goruntuleme ve Girisimsel Radyoloji Dernegi yayin organi JID - 9710449 SB - IM MH - Adolescent MH - Adult MH - Cervical Vertebrae/diagnostic imaging MH - Child MH - Child, Preschool MH - Craniofacial Abnormalities/complications/*diagnostic imaging/epidemiology MH - Female MH - Humans MH - Male MH - Skull Base/diagnostic imaging MH - Tomography, X-Ray Computed MH - Torticollis/complications/congenital/*diagnostic imaging/epidemiology MH - Turkey/epidemiology EDAT- 2004/12/22 09:00 MHDA- 2005/01/26 09:00 CRDT- 2004/12/22 09:00 PHST- 2004/12/22 09:00 [pubmed] PHST- 2005/01/26 09:00 [medline] PHST- 2004/12/22 09:00 [entrez] PST - ppublish SO - Tani Girisim Radyol. 2004 Dec;10(4):272-9.