Evidence map›Paper›PMID 39001880›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2024

Surgical strategy in treatment of metopic synostosis in a single centre experience: technical note and quantitative analysis of the outcomes.

Mino Zucchelli, Federica Ruggiero, Micol Babini, Mariella Lefosse, Alessandro Borghi, Naiara Rodriguez-Florez, Achille Tarsitano, Francesca Nicolini, Ercole Galassi

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Mino Zucchelli *IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Pediatric Neurosurgery, Bologna, Italy.
Federica Ruggiero *Oral and Maxillofacial Surgery Unit, AUSL Bologna, Bellaria Maggiore Hospital, Bologna, Italy. Federica.ruggiero5@studio.unibo.it.
Micol BabiniIRCCS Istituto Delle Scienze Neurologiche Di Bologna, Pediatric Neurosurgery, Bologna, Italy.
Mariella LefosseIRCCS Istituto Delle Scienze Neurologiche Di Bologna, Pediatric Neurosurgery, Bologna, Italy.
Alessandro BorghiDepartment of Engineering, Durham University, Durham, UK.
Naiara Rodriguez-FlorezUniversidad de Navarra, TECNUN Escuela de Ingeneiros, San Sebastian, Spain.
Achille TarsitanoDIBINEM, Alma Mater Studiorum Unversity of Bologna, Bologna, Italy.
Francesca Nicolini *IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Pediatric Neurosurgery, Bologna, Italy.
Ercole Galassi *IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Pediatric Neurosurgery, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTrigonocephaly is the most common craniosynostosis involving orbits. Although some degree of agreement has been reached regarding surgical timing and indications for treatment, there is no consensus regarding the ideal operative technique to guarantee an optimal morphological outcome. The purpose of this study is to describe both strategies and to compare morphological outcomes by means of morphological surface analysis obtained from three-dimensional (3D) stereophotogrammetry, with two different techniques.

methodsWe retrospectively investigated 43 patients with metopic synostosis surgically treated between 2004 and 2020. Two different techniques were applied, addressed as technique A and B. Ten patients undergone postoperative 3d stereophotogrammetry were enrolled, and cephalometric measurements were taken and compared to a cohort of unaffected patients matched by age and gender.

resultsComparison of the groups demonstrated a hypercorrection of the metopic angle of the second technique, associated with a slightly lower correction of the interfrontoparietal diameter. The metopic angle showed to be significantly undercorrected with the first method.

conclusionsAlternated barrel staving technique appears to be a quick and satisfactory method in cranial remodelling for metopic synostosis. It guarantees an optimal aesthetic result in the first years after surgery.

Indexed as

CraniosynostosesCephalometryFemaleHumansImaging, Three-DimensionalInfantMalePhotogrammetryPlastic Surgery ProceduresRetrospective StudiesTreatment OutcomeBarrel stavingFronto-orbital remodellingMetopic synostosisStereophotogrammetryTrigonocephaly

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.