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Program including abstracts as pdf available here

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P 59<br />

Title<br />

RADIOLOGICAL ASSESSMENT OF CRANIOFACIAL MALFORMATIONS & ASSOCIATED<br />

DISAbILITIES<br />

Authors<br />

S. KHANNA 1<br />

Affiliations<br />

1 Nair Hospital Dental College, Mumbai, INDIA<br />

Body<br />

Introduction and objective: Currently, craniofacial malformations and their <strong>as</strong>sociated disability<br />

are are<strong>as</strong> that warrant further research, <strong>as</strong> they are beneficial to clinician’s and b<strong>as</strong>ic<br />

researchers. The rarity of these groups poses a greater challenge. The pathogenesis of craniofacial<br />

malformations is intriguing because they appear to arise from polygenic interactions<br />

with environmental influences. The study aims to bridge the gap between genetic variations<br />

of craniofacial malformations, Eustachian tube length, angulation and dentomaxillofacial<br />

impairment.<br />

In Crouzon syndrome, Craniosynostosis, Scaphocephaly, Mandibulo-facial dysostosis & Hemifacial<br />

Microsomia.<br />

Materials and Methods: The selected subjects were individually <strong>as</strong>sessed b<strong>as</strong>ed on Radiological<br />

evaluation (Three dimensional computed tomography of the face). Eustachian tube dimensions,<br />

dento-facial abnormalities were evaluated in the above c<strong>as</strong>es & compared to the controls.<br />

Results: The features of craniofacial skeleton i.e. anterior skull b<strong>as</strong>e, the angle between the<br />

anterior skull and medial skull b<strong>as</strong>e, upper facial height and Eustachian tube parameters<br />

influence the audiological and dentofacial apparatus. The degree of malformation affects the<br />

magnitude of disability.<br />

Conclusion: The Eustachian tube dimensions essentially the length of the bony part and angulation<br />

in two planes is aberrant in c<strong>as</strong>es of craniofacial malformations in addition to the facial<br />

dimensions. This affects the conductive hearing loss due to frequent otitis media.<br />

In the developing world, the cost of rehabilitation and problem of access puts treatment<br />

beyond the reach of v<strong>as</strong>t number of individuals. A coordinated approach aimed at the holistic<br />

management of the incidence and pathogenesis of craniofacial malformations may hold the<br />

answer to vital questions concerning disability.<br />

Keywords<br />

Craniofacial malformation,eustachian tube,disability<br />

174

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