|
|
Assessment of facial morphology in patients with orofacial clefts in relation to surgical protocols
Moslerová, Veronika ; Velemínská, Jana (advisor) ; Dostálová, Taťjana (referee) ; Katina, Stanislav (referee)
The presented thesis summarizes the results of research on craniofacial morphology in patients with facial cleft defects in relation to therapeutic approaches (Caganova et al., 2014; Dadáková et al., 2016; Hoffmannova et al., 2016; Hoffmannova et al., 2018; Moslerová et al., 2018). The effect of therapy in individuals with pathological growth disorders cannot be evaluated without detailed auxological studies of control subjects whose facial morphology, longitudinal changes, or manifestations of sexual dimorphism were evaluated upon similar methodology (Koudelová et al. 2015). Therefore, the thesis was conceived as a volume of six publications complemented with a general synthetic introduction into the area of study. Together, the thesis includes probands in a broad age spectrum from birth to 15 years with a total of 294 facial 3D scans, 36 tele-X-ray face images, 3D scans of 112 gypsum palate castings. The methods of geometric morphometry and multidimensional statistics prevail in the assessment. The main clinical part of the thesis deals with the influence of two types of surgery on the facial growth and development of patients with cleft palate, namely secondary spongioplasty (SS) and neonatal cheiloplasty (NCH). Neonatal cheiloplasty (NCH) is the surgery whose effects were studied from several...
|
|
|
Assessment of facial morphology in patients with orofacial clefts in relation to surgical protocols
Moslerová, Veronika
The presented thesis summarizes the results of research on craniofacial morphology in patients with facial cleft defects in relation to therapeutic approaches (Caganova et al., 2014; Dadáková et al., 2016; Hoffmannova et al., 2016; Hoffmannova et al., 2018; Moslerová et al., 2018). The effect of therapy in individuals with pathological growth disorders cannot be evaluated without detailed auxological studies of control subjects whose facial morphology, longitudinal changes, or manifestations of sexual dimorphism were evaluated upon similar methodology (Koudelová et al. 2015). Therefore, the thesis was conceived as a volume of six publications complemented with a general synthetic introduction into the area of study. Together, the thesis includes probands in a broad age spectrum from birth to 15 years with a total of 294 facial 3D scans, 36 tele-X-ray face images, 3D scans of 112 gypsum palate castings. The methods of geometric morphometry and multidimensional statistics prevail in the assessment. The main clinical part of the thesis deals with the influence of two types of surgery on the facial growth and development of patients with cleft palate, namely secondary spongioplasty (SS) and neonatal cheiloplasty (NCH). Neonatal cheiloplasty (NCH) is the surgery whose effects were studied from several...
|
|
|
Development of the oronasal facial region in children aged 7-17 years: longitudinal study
Jungvirtová, Tereza ; Velemínská, Jana (advisor) ; Moslerová, Veronika (referee)
This thesis is based on longitudinal monitoring of developmental changes of the oronasal region in a group of children from 7 to 17 years. Growth and shape changes, variability and sex dimorphism were monitored using 492 3D facial models of 40 boys and 47 girls. These models were obtained by yearly scanning children aged 7 to 12 years and 12 to 17 years. The Vectra 3D optical scanner was used to obtain the models and data were evaluated using classical and geometric morphometry methods (T-test, DCA, Per vertex T-test and Principal component analysis). The results of the analyses were visualized using superprojection color maps of average faces and significance maps that show statistically significant regions of oronasal region changes. During the period under review, the growth of the oronasal region is evident in both girls and boys. The most intense growth occurred in the area of the nasal spine in both sexes, so there was a lengthening of the nose. Overall, the oronasal region extended and expanded to acquire a more convex shape. Growth intensity increased in girls from 10 years and in boys from 11 years. Sexual dimorphism was pronounced up to 11 years, between 12 and 13 the differences were not as pronounced as in the previous age categories, and these changes began to increase again from 14...
|
|
|
Assessment of facial morphology in patients with orofacial clefts in relation to surgical protocols
Moslerová, Veronika ; Velemínská, Jana (advisor) ; Dostálová, Taťjana (referee) ; Katina, Stanislav (referee)
The presented thesis summarizes the results of research on craniofacial morphology in patients with facial cleft defects in relation to therapeutic approaches (Caganova et al., 2014; Dadáková et al., 2016; Hoffmannova et al., 2016; Hoffmannova et al., 2018; Moslerová et al., 2018). The effect of therapy in individuals with pathological growth disorders cannot be evaluated without detailed auxological studies of control subjects whose facial morphology, longitudinal changes, or manifestations of sexual dimorphism were evaluated upon similar methodology (Koudelová et al. 2015). Therefore, the thesis was conceived as a volume of six publications complemented with a general synthetic introduction into the area of study. Together, the thesis includes probands in a broad age spectrum from birth to 15 years with a total of 294 facial 3D scans, 36 tele-X-ray face images, 3D scans of 112 gypsum palate castings. The methods of geometric morphometry and multidimensional statistics prevail in the assessment. The main clinical part of the thesis deals with the influence of two types of surgery on the facial growth and development of patients with cleft palate, namely secondary spongioplasty (SS) and neonatal cheiloplasty (NCH). Neonatal cheiloplasty (NCH) is the surgery whose effects were studied from several...
|
|
|
Development of maxilla in patients with orofacial clefts after the primary cheiloplasty.
Hoffmannová, Eva ; Velemínská, Jana (advisor) ; Stránská, Petra (referee)
The present study is concerned with development of maxilla, or moreprecisely palate,in course of first year of life in patients with unilateral cleft lip and palate (UCLP), before and after cheiloplasty. The metodology has it's center in processing of dental plaster casts of UCLP patients via classical and geometric morphometry. All the patients have been operated following same protocol in the neonatal period. The operation was conducted by the same surgeon Jiří Borský, M.D. in the teaching hospital Motol in Prague. In the trackedThe results suggest that the variability of shape was larger in cUCLP patients than in UCLP+M patients. Statistically significant differences in the palate shape were observed in both age categories within both defect categories. The variability of form (size and shape) was followed within each defect category and statistically significant differences between both age category was proven. In the light of average changes intha palate morphology, we tracked both anterior and posterior growth of both segments with increasing age in both defect categories. More distinctive aproximation of both segments, due to the pressure after the cheiloplasty and growth of both segments, was observed in cUCLP patients. Essencial influence of increasing gravity of the defect on changes...
|
guest ::
