METHODOLOGY OF EXAMINATION AND ULTRASOUND ANATOMY OF A MAXILLOFACIAL AREA IN PATIENTS WITH CRANIOFACIAL MICROSOMIA

Abstract

The study presents findings of extended ultrasound examination of a maxillofacial area in 62 patients with craniofacial macrosomia. It was used to detect abnormalities in patients’ ultrasound anatomy and to apply topographic anatomy option in order to advance the methodology of examination and planning for surgical procedures, namely auricle reconstruction. The following findings were detected throughout the ultrasound examination: 7 patients with a total aplasia of parotid salivary gland in a normal structure and size of salivary gland on the damaged side; all patients with a normal structure and size of submandibular salivary gland on the damaged side; and 25 patients with anatomic landmarks for auricle reconstruction using a carcass of costal cartilage autograft.
An ultrasound examination of head and neck, particularly the temporal, parotid-masticatory and temporal areas on both sides, the masticatory and temporal muscles, the temporal fascia, the large salivary glands, the vessels of the temporal areas, is required for formation of unbiased assessment of the state of maxillofacial area in patients, as well as further systematization of results for detection of correlation with apparently healthy children. Based on an ultrasound examination of topographic anatomy of temporal area, a method for detection of optimal location for auricle reconstruction in patients with craniofacial macrosomia is found relevant and accessible.