Interfrontal angle for characterization of trigonocephaly: part 1: development and validation of a tool for diagnosis of metopic synostosis

The Journal of Craniofacial Surgery
Ryan KelloggJeffrey R Marcus

Abstract

Surgical intervention for metopic synostosis is largely based on a subjective impression of the presence and severity of trigonocephaly. Several objective methods have been proposed to characterize phenotypic severity, but these methods are imprecise or impractical. The purpose of this investigation was to develop a practical and reliable quantitative method to assess trigonocephaly using computed tomographic (CT) data. Clinical and administrative databases were queried to identify sequential patients referred for evaluation of possible metopic synostosis. Age-matched comparative controls were selected from a previously described pediatric craniofacial normative database. Craniofacial CT data were assessed as two-dimensional axial series, three-dimensional reconstructions, and multiplanar reconstructions. Six methods were then evaluated for quantifying the interfrontal angle (IFA). Each method was critically appraised with respect to accuracy, precision, and practicality. Thirty-six (n = 36) sequential metopic cases and 107 normative controls were selected for analysis. Of the 6 methods assessed, the most reliable method involved measurement of the IFA formed between the anterior-most point of the cranium and the supraorbital n...Continue Reading

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Citations

May 30, 2013·The Journal of Craniofacial Surgery·Barbu GocimanFaizi Siddiqi
Dec 24, 2014·The Journal of Craniofacial Surgery·Dennis C NguyenAlbert S Woo
Feb 6, 2017·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Naiara Rodriguez-FlorezDavid J Dunaway
Jul 1, 2017·The Journal of Craniofacial Surgery·Adam D GlenerJeffrey R Marcus
Dec 29, 2015·Plastic and Reconstructive Surgery·Benjamin C WoodGary F Rogers
Apr 28, 2016·Plastic and Reconstructive Surgery·Rachel A AnolikJeffrey R Marcus
Feb 6, 2020·The Journal of Craniofacial Surgery·Riddhish BhalodiaJesse A Goldstein
Mar 17, 2020·Journal of Computer Assisted Tomography·Rosalinda CalandrelliCesare Colosimo
Jun 4, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Mark P PresslerAlex A Kane
May 5, 2017·The Journal of Craniofacial Surgery·Scott J FarberKamlesh B Patel
Dec 18, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Rosalinda CalandrelliCesare Colosimo
May 3, 2019·Plastic and Reconstructive Surgery. Global Open·Craig B BirgfeldBabette Siebold
Aug 20, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Orgest LajthiaSuresh N Magge
Jan 7, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Qing YanGang Wang
Jan 9, 2021·International Journal of Computer Assisted Radiology and Surgery·David García-MatoJavier Pascau
Jan 21, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Damini TandonKamlesh B Patel
Mar 22, 2021·International Journal of Oral and Maxillofacial Surgery·O D M KronigL N A Van Adrichem
Nov 7, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Mark Philip PresslerAlex A Kane
Jul 8, 2021·International Journal of Oral and Maxillofacial Surgery·R KuehleM Engel
Jul 29, 2021·The Journal of Craniofacial Surgery·Jason A RamseyChristopher M Bonfield
Jul 23, 2021·Medical Image Analysis·Riddhish BhalodiaRoss Whitaker
Nov 18, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Alexandra JunnMichael Alperovich

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