Document Detail

Surgical treatment of trigonocephaly: technique and long-term results in 48 cases.
MedLine Citation:
PMID:  21361772     Owner:  NLM     Status:  MEDLINE    
OBJECT: The authors present their experience in the surgical treatment of metopic synostosis by orbital bandeau remodeling and frontal bone rotation. The pitfalls and advantages of the surgical technique are discussed, along with the long-term clinical results in 48 consecutive cases.
METHODS: Forty-eight consecutive patients in whom trigonocephaly was diagnosed between 1990 and 2009 were treated with frontal bone rotation and frontoorbital bandeau remodeling. Of these patients, 38 (79%) were boys and 10 (21%) were girls. The age at the time of surgical treatment ranged between 4 and 42 months (mean ± SD 11.4 ± 8.7 months). The average follow-up period was 5.5 ± 4.2 years (range 5 months-19 years). The preoperative and latest postoperative photographs of the patients were evaluated for the following features: 1) shape of the forehead; 2) hypotelorism; and 3) temporal depression. Scores of 0, 1, or 2 were assigned for each item: 0 was normal, 1 meant moderate deformity, and 2 denoted severe deformity.
RESULTS: In the early postoperative period, no complications were documented. The average hospitalization period was 4 days. Follow-up radiographs or 3D CT scans were obtained at regular intervals. The mean preoperative scores for the evaluated items were 1.38 ± 0.49 for the shape of the forehead, 1.33 ± 0.48 for hypotelorism, and 1.7 ± 0.46 for the temporal depression. The mean postoperative scores were 0.06 ± 0.24 for the shape of the forehead, 0.21 ± 0.4 for hypotelorism, and 0.67 ± 0.48 for the temporal depression. Overall, the total preoperative score dropped from 4.4 to 0.93 postoperatively (p < 0.05). All the patients were contented with the cosmetic results.
CONCLUSIONS: Early detection and treatment of metopic suture synostosis has a significant, favorable influence on the outcomes. Good understanding of the structural abnormality and the pathophysiological mechanisms of the possible complications is very important for performing proper surgical reconstruction.
Fatma Ozlen; Ali Metin Kafadar; Bashar Abuzayed; Mustafa Onur Ulu; Cihan Isler; Reza Dashti; Pamir Erdincler
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  7     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  2011-04-21     Revised Date:  2013-03-14    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  300-10     Citation Subset:  IM    
Department of Neurosurgery, Cerrahpasa Medical Faculty,Istanbul University, Istanbul, Turkey
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MeSH Terms
Child, Preschool
Cranial Sutures / surgery
Craniosynostoses / surgery*
Follow-Up Studies
Frontal Bone / surgery
Reconstructive Surgical Procedures / methods*
Skull / surgery
Treatment Outcome
Comment In:
J Neurosurg Pediatr. 2013 Feb;11(2):224-5   [PMID:  23198841 ]
Erratum In:
J Neurosurg Pediatr. 2011 May;7(5):565

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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