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Choosing the best method to utilise single positron emission computed tomography (SPECT) scans in the management of unilateral condylar hyperplasia
Institution:1. Service de chirurgie maxillo-faciale et stomatologie, centre hospitalier de Saint-Nazaire, 11, boulevard Georges-Charpak, BP 414, 44606 Saint-Nazaire cedex, France;2. Laboratory for osteo-articular and dental tissue engineering (LIOAD), Inserm U791, school of dental surgery, université de Nantes, 1, place Alexis-Ricordeau, 44042 Nantes cedex 1, France;3. Service de stomatologie et chirurgie maxillo-faciale, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France;1. Assistant Professor, Maxillofacial Surgery Department, Academic Hospital of Udine, and Department of Medicine, University of Udine, Udine, Italy;2. Resident, Maxillofacial Surgery Department, Academic Hospital of Udine, and Department of Medicine, University of Udine, Udine, Italy;3. Private Practitioner in Orthodontics, Lake Como Institute, Como, Italy;4. Full Professor, Department Head, Maxillofacial Surgery Department, Academic Hospital of Udine, and Department of Medicine, University of Udine, Udine, Italy;1. Department of Oral and Maxillofacial Surgery, Amsterdam UMC/Emma Children’s Hospital, and Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands;2. Laboratory for Genome Diagnostics, Amsterdam UMC, University of Amsterdam, Department of Clinical Genetics, Amsterdam Reproduction and Development, Amsterdam, The Netherlands;3. Department of Oral and Maxillofacial Surgery, Spaarne Gasthuis, Haarlem, The Netherlands;4. Department of Paediatrics and Translational Genetics, Amsterdam UMC/Emma Children’s Hospital, University of Amsterdam, Amsterdam, The Netherlands;1. Assistant Professor, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;2. Resident, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;3. Assistant Professor, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;4. Full Professor and Department Head, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;1. Orthodontist and Assistant Professor, Department of Orthodontics, Universidad del Valle, Cali, Colombia;2. Resident and Orthodontics Postgraduate, Universidad del Valle, Cali, Colombia;3. Oral and Maxillofacial Surgeon and Assistant Professor, Department of Orthodontics, Universidad del Valle, Cali; Private Practice, Farallones Clinic and Imbanaco Medical Center, Cali, Colombia;4. Pathologist, Private Practice, Farallones Clinic, Cali, Colombia
Abstract:Facial asymmetry secondary to unilateral condylar hyperplasia can be a diagnostic challenge to oral and maxillofacial surgeons. Single positron emission computed tomography (SPECT) scans provide a useful adjunct. We report a brief summary of the evidence describing the effectiveness of different methods of analysing SPECT scans and compare it with the results of a 10-year study at Sunderland Royal Hospital. Overall, both the evidence base and our study strongly favour use of the condyle:condyle ratio over the condyle:reference bone ratio, suggesting that no further comparisons are needed.
Keywords:Oral and maxillofacial surgery  condylar hyperplasia  spect  single positron emission computed tomography  condyle  clivus  parietal  evidence summary
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