25210224 Visualization

A 7 Age - year Age - old Age boy Sex with Goldenhar Disease_disorder syndrome Disease_disorder with post Diagnostic_procedure - natal Diagnostic_procedure genetic Diagnostic_procedure diagnosis Diagnostic_procedure was referred Clinical_event to our Department Nonbiological_location of Nonbiological_location Radiology Nonbiological_location for imaging Diagnostic_procedure study Diagnostic_procedure of the temporal Biological_structure bone Biological_structure .
The patient underwent a 3D Diagnostic_procedure - CT Diagnostic_procedure scan Diagnostic_procedure .
Brilliance Diagnostic_procedure CT-64- channel Diagnostic_procedure ( Philips Nonbiological_location Medical Nonbiological_location Systems, Nonbiological_location Amsterdam, Nonbiological_location The Nonbiological_location Netherlands Nonbiological_location ) was employed.
The protocol Coreference generated 120 Lab_value kV Lab_value and a current of 150 Lab_value mA.
Slice Diagnostic_procedure thickness Diagnostic_procedure of the Coreference images Coreference was 1 Distance - mm Distance with a 0.5 Distance - mm Distance increment Diagnostic_procedure .
Images Diagnostic_procedure in DICOM Detailed_description format Detailed_description were processed Detailed_description on Detailed_description a Detailed_description PC Detailed_description using Detailed_description commercial Detailed_description software Detailed_description , obtaining a three Diagnostic_procedure - dimensional Diagnostic_procedure reconstruction Diagnostic_procedure of skeletal Biological_structure structures Biological_structure .
The 3 Diagnostic_procedure - dimensional Diagnostic_procedure reconstruction Diagnostic_procedure of the skin Biological_structure plans Biological_structure showed hypoplasia Disease_disorder of the auricle Biological_structure that on the right Detailed_description side Detailed_description consisted of a simple Detailed_description dysmorphic Sign_symptom rough Sign_symptom .
The left Biological_structure auricle Biological_structure had regular Lab_value dimensions Diagnostic_procedure and morphology Diagnostic_procedure .
Atresia Disease_disorder of the right Biological_structure auditory Biological_structure conduit Biological_structure and a normal Lab_value left Biological_structure auditory Biological_structure conduit Biological_structure were observed Diagnostic_procedure .
The upper Detailed_description images Diagnostic_procedure showed partial Severity ossification Other_event of the cranium Biological_structure typical Detailed_description in Detailed_description paediatric Detailed_description age Detailed_description .
Description of the profile: typical Detailed_description II Detailed_description class Detailed_description very Severity convex Diagnostic_procedure profile Diagnostic_procedure with interposition Detailed_description of the inferior Biological_structure lip Biological_structure and a reduced Lab_value neck Biological_structure - chin Biological_structure angle.(Fig.1).
Skeletal Diagnostic_procedure studies Diagnostic_procedure show that the mandibular Biological_structure condyle Biological_structure , ramus Biological_structure and corpus Biological_structure were shorter Detailed_description on Detailed_description the Detailed_description affected Detailed_description side Detailed_description .
Tilting Detailed_description of oral Biological_structure rhyme Biological_structure , occlusal Biological_structure plane Biological_structure and mandibular Biological_structure plane Biological_structure were evident.
Number Disease_disorder or form Disease_disorder abnormalities Disease_disorder were not found during mixed Diagnostic_procedure dentition Diagnostic_procedure .
Mandibular Biological_structure condyles Biological_structure and temporo Biological_structure - mandibular Biological_structure joints Biological_structure seemed to be asymmetric Detailed_description , and in particular the right Biological_structure condyle Biological_structure was deformed Biological_attribute , shorter Lab_value and wider Lab_value than Lab_value the Lab_value other Lab_value side Lab_value ( mandibular Biological_structure condyle Biological_structure dimensions Diagnostic_procedure were 11 Area × Area 7 Area mm Area right Detailed_description and 14 Area × Area 7 Area mm Area left Detailed_description ).
The 3 Diagnostic_procedure - dimensional Diagnostic_procedure reconstruction Diagnostic_procedure of the skeleton Biological_structure planes Biological_structure showed the different morphology Diagnostic_procedure of the right Biological_structure and left Biological_structure hemimandibula Biological_structure .
Mandibular Biological_structure 3 Diagnostic_procedure - dimensional Diagnostic_procedure reconstruction Diagnostic_procedure showed in detail the shift Detailed_description of the medial Biological_structure axis Biological_structure to the hypoplastic Disease_disorder right Detailed_description side Detailed_description and the asymmetry Detailed_description of the right Biological_structure mandibular Biological_structure condyles Biological_structure that appears dysmorphic Detailed_description short Lab_value and wide Lab_value in axial Detailed_description and coronal Detailed_description scansions Diagnostic_procedure (Figs.2, 3).
The study Coreference of the temporal Biological_structure bone Biological_structure showed on the right Detailed_description side Detailed_description an external Biological_structure auditory Biological_structure canal Biological_structure atresia Disease_disorder , hypoplasia Disease_disorder of tympanic Biological_structure cavity Biological_structure that was not pneumatized Disease_disorder and occupied Detailed_description by Detailed_description dense Detailed_description materials Detailed_description from Detailed_description soft Detailed_description parts Detailed_description .
No pneumatization Disease_disorder was present in right Biological_structure mastoid Biological_structure cells Biological_structure .
Left Biological_structure external Biological_structure auditory Biological_structure canal Biological_structure dimensions Diagnostic_procedure and morphology Diagnostic_procedure were normal Lab_value .
The left Biological_structure tympanic Biological_structure cavity Biological_structure was normally Detailed_description formed Detailed_description and totally Detailed_description occupied Detailed_description by Detailed_description dense Detailed_description materials Detailed_description from Detailed_description soft Detailed_description tissues Detailed_description .
Both right Biological_structure and left Biological_structure ears Biological_structure presented minor Severity hypoplasia Disease_disorder of auricle Biological_structure bones Biological_structure in the right Detailed_description side Detailed_description .
In agreement with the resolution of our Coreference instrument Coreference , normal Detailed_description representation Detailed_description of the malleus Biological_structure head Biological_structure that seemed articulated with a dysmorphic Sign_symptom rough Sign_symptom of a deformed Detailed_description incus Biological_structure was observed; it was impossible Detailed_description to Detailed_description see Detailed_description the staples Biological_structure .
The left Biological_structure malleus Biological_structure and incus Biological_structure were visible Detailed_description and appeared to be articulated Detailed_description in Detailed_description an Detailed_description abnormal Detailed_description manner Detailed_description ( reduce Detailed_description contact Detailed_description surface Detailed_description ); the staples Biological_structure was difficult Detailed_description to Detailed_description observe Detailed_description but seemed to have regular Detailed_description morphology Diagnostic_procedure .
Dimensions Diagnostic_procedure and morphology Diagnostic_procedure of cochlea Biological_structure semicircular Biological_structure canals Biological_structure , vestibulum Biological_structure and utriculum Biological_structure were unaltered Detailed_description (Figs.4-​7).
In conclusion, through 3D Diagnostic_procedure - CT Diagnostic_procedure valuation Diagnostic_procedure of this young patient we observed asymmetry Detailed_description of the condyles Biological_structure ; in particular, the right Biological_structure condyle Biological_structure was dysmorphic Detailed_description , short Lab_value and wide Lab_value ; the auricle Biological_structure of the right Biological_structure external Biological_structure ear Biological_structure was hypoplastic Disease_disorder , only a dysmorphic Sign_symptom rough Sign_symptom was present; the right Biological_structure middle Biological_structure ear Biological_structure had a hypoplastic Disease_disorder tympanic Biological_structure cavity Biological_structure ; the right Biological_structure internal Biological_structure ear Biological_structure has an atresic Disease_disorder auditory Biological_structure conduit Biological_structure .