Anthropometric Outcome Measures in Patients With Metopic Craniosynostosis.
J Craniofac Surg
; 28(3): 713-716, 2017 May.
Article
en En
| MEDLINE
| ID: mdl-28468154
ABSTRACT
PURPOSE:
Treatment of metopic craniosynostosis is performed by either fronto-orbital advancement (FOA) or endoscopic-assisted techniques. Interfrontal angle (IFA) is a validated measure of trigonocephaly, but requires a computed tomography scan. The most common direct measure to assess surgical outcome in patients with trigonocephaly is frontal width (ft-ft). The aim of this study is to determine if frontal width correlates with IFA and successful surgical correction 1 year after treatment. A review of current morphologic assessment techniques is also provided.METHODS:
Three-dimensional computed tomography scans (preoperative and 1 year postoperative) of patients who underwent FOA (nâ=â13) or endoscopic (nâ=â13) treatment of metopic craniosynostosis were reviewed. Age-matched scans of unaffected patients served as controls. Frontal width was measured by a straight line between the bilateral frontotemporal points. Measurements were performed by 2 experienced observers and compared to IFA.RESULTS:
Mean frontal width at preoperative scan for endoscopic and open patients was 55â±â0.6 and 64â±â0.7 mm, respectively (Z-score 1.6 and -3.7). Mean frontal width at postoperative scan for endoscopic and open patients was 80â±â0.4 and 81â±â0.7 mm (Z-score 0.0 for both groups). Frontal width for endoscopic correction significantly correlated with IFA (râ=â0.536, Pâ=â0.005), as well as for the open patients (râ=â0.704, Pâ<â0.001).CONCLUSION:
Frontal width normalizes 1 year after operation, regardless of technique. Advantage of frontal width is that it can be measured in the clinic using a spreading vernier caliper. It correlates well with IFA and can be used as a metric for morphologic outcome.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Tomografía Computarizada por Rayos X
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Antropometría
/
Craneosinostosis
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Imagenología Tridimensional
Tipo de estudio:
Observational_studies
Límite:
Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
J Craniofac Surg
Asunto de la revista:
ODONTOLOGIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
Macao