ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026
Long-term subjective patient's satisfaction and aesthetic outcomes in sagittal synostosis: a study of 488 patients operated by early, wide, open strip craniectomy.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveInfants with sagittal synostosis (SS) are operated upon mainly for cosmetic reasons. The patient's perception related to head shape and to scar, are mostly subjective. We therefore investigated the long term subjective results of relatively homogeneous group of children who were operated on with an early, open, and wide strip craniectomy.
methodsSingle-center, retrospective study with a follow-up of 2 to 25 years. The study cohort included 488 children who underwent early, open, wide, strip craniectomy for SS at the age of 2-4 months and answered the telephone questionnaire. We interviewed the parents, assessing their perception, adding upon the children's related feelings. The questionnaire included both quantitative ratings and qualitative responses "pearls", and assessed aesthetic outcomes, including skull shape, scar-related concerns, and overall satisfaction. The cohort was stratified into three age groups (3-6, 6-12, and ≥ 12 years), and a comparative analysis between males and females.
results488 patients responded to the questionnaire. There is an overall very high satisfaction with the surgery's aesthetic results. Except for one patient (1/488), all responders stated that they would undergo the surgery again. Detailed questions about head shape and the influence of the scar, show mostly minor comments that seem to improve when we compare those between 6 and 12, and those above 12 years of age. Scar-related concerns were generally mild in nature (such as local sensitivity, pruritus, or difficulty with haircuts) and did not translate into overall dissatisfaction.
conclusionsThis study confirms that the long-term subjective, aesthetic results of early, wide, open and strip craniectomy of both parents and children are excellent. Despite the presence of minor aesthetic concerns, including scar-related findings, overall satisfaction remains consistently high.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.