scholarly journals Comparisons of Intracranial Volume and Cephalic Index After Correction of Sagittal Craniosynostosis With Either Two or Three Springs

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sara Fischer ◽  
Giovanni Maltese ◽  
Peter Tarnow ◽  
Emma Wikberg ◽  
Madiha Bhatti Søfteland ◽  
...  
Keyword(s):  
Intracranial Volume ◽  
Cephalic Index ◽  
Sagittal Craniosynostosis

Cephalic index correlates poorly with intracranial volume in non-syndromic scaphocephalic patients

2014 ◽  
Vol 30 (12) ◽  
pp. 2097-2102 ◽  
Author(s):  
Junnu Leikola ◽  
Virve Koljonen ◽  
Arja Heliövaara ◽  
Jyri Hukki ◽  
Mika Koivikko
Keyword(s):  
Intracranial Volume ◽  
Cephalic Index

Comparison of aesthetic outcomes between open and endoscopically treated sagittal craniosynostosis

2021 ◽  
pp. 1-7
Author(s):  
Jacob Lepard ◽  
S. Hassan A. Akbari ◽  
James Mooney ◽  
Anastasia Arynchyna ◽  
Samuel G. McClugage III ◽  
...  
Keyword(s):  
Head Circumference ◽  
Endoscopic Treatment ◽  
Open Repair ◽  
Perioperative Outcomes ◽  
Subjective Rating ◽  
Cephalic Index ◽  
Sagittal Synostosis ◽  
Sagittal Craniosynostosis ◽  
Subjective Assessments ◽  
Z Scores

OBJECTIVE In the last several decades, there has been much debate regarding the ideal treatment for sagittal synostosis. The purpose of this study was to compare perioperative, anthropometric, and subjective assessments of cosmetic outcomes between open and endoscopic management of isolated sagittal synostosis. METHODS At their routine postoperative follow-up, pediatric patients with sagittal craniosynostosis were recruited to undergo digital cranial measurement and standardized photography for objective and subjective assessments of perioperative outcomes. Age-normalized z-scores for cephalic index, head circumference, euryon-euryon diameter (Eu-Eu), and glabella-opisthocranion diameter (G-Op) were calculated for each patient. Faculty surgeons, surgical trainees, nurses, and laypersons were asked to rate the normalcy of craniofacial appearances using a 5-point Likert scale. Outcomes were compared between patients treated with endoscopic correction and those treated with open repair. RESULTS A total of 50 patients were included in the study. Thirty-one had undergone open surgical correction, and 19 had undergone endoscopic treatment. Endoscopic repair involved significantly lower operative time, blood loss, transfusion rate, and hospital length of stay than those with open repair (p < 0.001). There was no significant difference between groups in terms of z-scores for head circumference (p = 0.22), cephalic index (p = 0.25), or Eu-Eu (p = 0.38). Endoscopic treatment was associated with a significantly lower G-Op (p = 0.009). Additionally, the average subjective rating of head shape was higher for endoscopic treatment when corrected for age, gender, and ethnicity (p = 0.02). CONCLUSIONS The study findings suggest that patients who are treated endoscopically may have an overall more normal appearance in skull morphology and cosmesis, although these results are limited by poor reliability.

Combined metopic and sagittal craniosynostosis: is it worse than sagittal synostosis alone?

2011 ◽  
Vol 31 (2) ◽  
pp. E2 ◽  
Author(s):  
Jordan S. Terner ◽  
Roberto Travieso ◽  
Su-shin Lee ◽  
Antonio J. Forte ◽  
Anup Patel ◽  
...  
Keyword(s):  
Brain Tissue ◽  
Brain Volume ◽  
Ventricular Volume ◽  
Brain Dysfunction ◽  
Volume Reduction ◽  
Intracranial Volume ◽  
Age Group ◽  
Sagittal Synostosis ◽  
Sagittal Craniosynostosis ◽  
Patient Groups

Object Combined metopic and sagittal craniosynostosis is a common variant of the nonsyndromic, multiplesuture synostoses. It is unknown whether this combined form causes reduced intracranial volume (ICV) and potentially more brain dysfunction than sagittal synostosis alone. This study is a volumetric comparison of these 2 forms of craniosynostosis. Methods The authors conducted a retrospective chart and CT review of 36 cases of isolated sagittal synostosis or combined metopic and sagittal synostosis, involving patients seen between 1998 and 2006. Values were obtained for the intracranial compartment, brain tissue, CSF space, and ventricular volumes. Patients with craniosynostosis were then compared on these measures to 39 age- and sex-matched controls. Results In patients with isolated sagittal synostosis and in those with combined metopic and sagittal synostosis, there was a trend toward smaller ICV than in controls (p < 0.1). In female patients older than 4.5 months of age, there was also a trend toward smaller ICV in patients with the combined form than in those with sagittal synostosis alone (p < 0.1), and the ICV of patients with the combined form was significantly smaller than the volume in controls in the same age group (p < 0.05). Brain tissue volume was significantly smaller in both patient groups than in controls (p < 0.05). Ventricular volume was significantly increased (compared with controls) only in the patients with isolated sagittal synostosis who were younger than 4.5 months of age (p < 0.05). Overall CSF space, however, was significantly larger in both patient groups in patients younger than 4.5 months of age (p < 0.05). Conclusions These findings raise concerns about intracranial and brain volume reduction in patients with sagittal and combined metopic and sagittal synostoses and the possibility that this volume reduction may be associated with brain dysfunction. Because the ICV reduction is greater in combined metopic and sagittal synostosis in patients older than 4.5 months of age than in sagittal synostosis in this age group, the potential for brain dysfunction may be particularly true for these younger infants.

Intracranial volume measurement of sagittal craniosynostosis

2007 ◽  
Vol 14 (5) ◽  
pp. 455-458 ◽  
Author(s):  
Peter J. Anderson ◽  
David J. Netherway ◽  
Karen McGlaughlin ◽  
David J. David
Keyword(s):  
Volume Measurement ◽  
Intracranial Volume ◽  
Sagittal Craniosynostosis

Intracranial Volume Measured and Correlated to Cephalic Index in Syndromic and Nonsyndromic Anterior Brachycephaly

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Otto D.M. Kronig ◽  
Sophia A.J. Kronig ◽  
Léon N.A. Van Adrichem
Keyword(s):  
Intracranial Volume ◽  
Cephalic Index

Effects of Different Surgical Techniques on Cephalic Index and Intracranial Volume in Isolated Bilateral Coronal Synostosis Model

2012 ◽  
Vol 23 (3) ◽  
pp. 878-880 ◽  
Author(s):  
İsmail Küçüker ◽  
Yucel Demir ◽  
Basar Kaya ◽  
Onur Cukurluoglu ◽  
Serhan Tuncer ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Intracranial Volume ◽  
Cephalic Index ◽  
Coronal Synostosis

Comparison of Intracranial Volume and Cephalic Index After Correction of Sagittal Synostosis With Spring-assisted Surgery or Pi-plasty

2016 ◽  
Vol 27 (2) ◽  
pp. 410-413 ◽  
Author(s):  
Sara Fischer ◽  
Giovanni Maltese ◽  
Peter Tarnow ◽  
Emma Wikberg ◽  
Peter Bernhardt ◽  
...  
Keyword(s):  
Intracranial Volume ◽  
Cephalic Index ◽  
Sagittal Synostosis

An Appraisal of the Cephalic Index in Sagittal Craniosynostosis, and the Unseen Third Dimension

2017 ◽  
Vol 140 (1) ◽  
pp. 138-145 ◽  
Author(s):  
Jeffrey A. Fearon ◽  
Kanlaya Ditthakasem ◽  
Morley Herbert ◽  
John Kolar
Keyword(s):  
Cephalic Index ◽  
Sagittal Craniosynostosis ◽  
Third Dimension
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