Three-Dimensional Computed Tomography Imaging in the Evaluation of the Child With Craniosynostosis: Study of 60 Patients

Evangelos G. Kilipirisa, ... Michal Kabatd more
a Evangelos G. Kilipiris

PGY4; Department of Pediatric Oral and Maxillofacial Surgery, Faculty of Medicine, Comenius University, Bratislava, Slovak Republic. Corresponding author. Department of Oral and Maxillofacial Surgery, Comenius University, Faculty of Medicine, 1 Limbova Street, Bratislava 83340, Slovak Republic Tel.: +421944715632 E-mail address: varonos@live.co.uk (Evangelos G. Kilipiris) Instagram: evangeloskilipiris Facebook: Evangelos Kilipiris

b Stefan Pavlik

Radiologist; Department of Pediatric Radiology, National Institute of Children’s Diseases, Bratislava, Slovak Republic

c Frantisek Horn

PhD; Department of Pediatric Surgery, Division of Pediatric Neurosurgery, National Institute of Children’s Diseases and Faculty of Medicine, Comenius University, Bratislava, Slovak Republic

d Michal Kabat

PhD; Department of Pediatric Surgery, Division of Pediatric Neurosurgery, National Institute of Children’s Diseases and Faculty of Medicine, Comenius University, Bratislava, Slovak Republic

February 28, 2019

https://doi.org/10.23999/j.dtomp.2019.2.3

J Diagn Treat Oral Maxillofac Pathol 2021;3:52–75.

Under a Creative Commons license

HOW TO CITE THIS ARTICLE

Kilipiris EG, Pavlik S, Horn F, Kabat M. Three-dimensional computed tomography imaging in the evaluation of the child with craniosynostosis: study of 60 patients. J Diagn Treat Oral Maxillofac Pathol 2019;3(2):52−75.

Abstract

Purpose: The aim of this article is to describe and illustrate the appearance of craniosynostosis on CT scan images.


Methods: A total of 60 children during the years 2014-2018 were included. The medical and radiographic records of patients less than 3 years of age, clinically diagnosed with nonsyndromic craniosynostosis were studied. They underwent CT imaging examination in order to confirm the diagnosis and to accurately establish the surgical treatment plan.


Results: The high diagnostic performance of CT with 3D surface-rendered reconstructions was pointed out together with the most common findings.


Conclusion: 3D CT appears as the imaging modality with the best diagnostic performance in children with craniosynostosis. However, large prospective studies and further research are needed, in order to clearly define the role of 3D CT and minimize the unnecessary exposure of infants to radiation.