Evidence map›Paper›PMID 40047417›Full record

ArticleThe Journal of craniofacial surgery

Early Outcomes of Endoscopic Spring-Assisted Repair of Metopic Craniosynostosis.

Skyler K Palmer, Connor Elkhill, Ines A Cruz-Guerro, Diego A Gomez, Charles Wilkinson, David Khechoyan, Brooke French, Antonio R Porras, Phuong D Nguyen

Abstract read
In one paragraph

Article in The Journal of craniofacial surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Postoperative raised ICP after minimally invasive surgery for monosutural craniosynostosis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Skyler K PalmerDepartment of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.
Connor ElkhillDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus.
Ines A Cruz-GuerroDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus.
Diego A GomezDepartment of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.
Charles WilkinsonDepartment of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.
David KhechoyanDepartment of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.
Brooke FrenchDepartment of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.
Antonio R PorrasDepartment of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.
Phuong D NguyenDepartment of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.ORCID 0000-0002-2116-902

Funding

Computational Bioscience Program Training GrantT15LM009451 · NLM · UNIVERSITY OF COLORADO DENVER · PI Katherina Kechris-Mays, Arjun Krishnan · 2007 to 2026
$11.7M
Data-driven quantification and prediction of pre-surgical local head volume distributions and post-surgical development in patients with craniosynostosis.R01DE032681 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI Antonio Reyes Porras Perez · 2023 to 2026
$1.6M
NIDCR NIH HHS R01 DE032681NLM NIH HHS T15 LM009451
6 · The paper itself

Abstract

introductionMetopic craniosynostosis is often treated with endoscopic repair with helmeting in younger patients due to its safety profile. Spring-assisted open repair has shown utility in correcting hypotelorism in metopic craniosynostosis. This study presents the first report and early outcomes of endoscopic spring-assisted repair for metopic craniosynostosis. MATERIALS AND

methodsA retrospective review was performed on all patients who underwent endoscopic spring-assisted repair of metopic craniosynostosis at a single tertiary children's hospital. Patient demographics, perioperative outcomes, and 3D photograms were obtained. Intercanthal distance, interfrontal angle, Head Shape Anomaly Index (HSA), and intracranial volume were calculated from the 3D photograms.

resultsThree patients underwent spring-assisted endoscopic strip craniectomy between 2.8 and 5.8 months old. The average procedure time was 114.7 minutes, with an average blood loss of 95 mL; 2 patients required a small transfusion (<25 mL/kg). All patients were discharged postoperative day 1. Postoperatively, intercanthal distance improved from below average to average or above average, and the average interfrontal angle improved from 116.32 to 126.56 degrees. The average HSA improved from 1.32 presurgically to 1.13 postsurgically. The average volume difference compared with each patient's normative reference volume increased from 5.39 to 7.23 mL.

conclusionsThis is the first report of early outcomes of spring-assisted endoscopic repair of metopic craniosynostosis. Perioperative safety outcomes were comparable to those in traditional endoscopic repair of metopic craniosynostosis. Morphologic outcomes were promising, as demonstrated by the improvement in intercanthal distance, interfrontal angle, and HSA. Future studies may compare the outcomes of this technique to those of traditional approaches.

Indexed as

CraniosynostosesCraniotomyEndoscopyFemaleHead Protective DevicesHumansImaging, Three-DimensionalInfantMaleOperative TimeRetrospective StudiesTreatment OutcomeEndoscopic repairmetopic craniosynostosisspring-assisted repair

Identifiers

PMID40047417
PMCPMC13102103

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.