Long-Term Results in Isolated Metopic Synostosis: The Oxford Experience over 22 Years

Plastic and Reconstructive Surgery
Hamidreza NatghianSteven A Wall

Abstract

Metopic synostosis causing trigonocephaly is treated by fronto-orbital advancement and remodeling to correct the deformity and cerebral distortion and to treat intracranial hypertension in a small number of cases. The aim of this study was to evaluate complications, revisions, and long-term outcomes. A retrospective chart review was performed on consecutive metopic craniosynostosis patients treated between February of 1995 and February of 2017 at the Oxford Craniofacial Unit. Two hundred forty-five patients with isolated metopic synostosis were seen. Two hundred two patients underwent fronto-orbital advancement and remodeling. Fifty patients were girls and 152 patients were boys. Mean age at surgery was 16.8 months. Mean weight preoperatively was 12 kg. All patients received blood transfusion. Mean postoperative stay was 6 days. Average follow-up time was 8 years (range, 0.5 to 22 years). There were eight major complications (4 percent). Six patients (2.9 percent) required secondary calvarial expansion for late raised intracranial pressure. Thirty-one (15 percent) had other subsequent procedures, including wire removal and forehead shape contouring with alloplastic onlay. Raised intracranial pressure before surgery was confirme...Continue Reading

References

Jan 1, 1991·Pediatric Neurosurgery·L GenitoriM Choux
Sep 1, 1982·Journal of Neurosurgery·D RenierJ F Hirsch
Jan 1, 1995·Pediatric Neurosurgery·J W CampbellA W Biglan
May 1, 1995·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D N ThompsonR Hayward
Feb 1, 1996·Plastic and Reconstructive Surgery·E J SidotiM J Noetzel
Nov 1, 1996·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H CollmannJ Krauss
Nov 5, 1997·Plastic and Reconstructive Surgery·J P BradleyM T Longaker
May 29, 1998·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·S R Cohen, J A Persing
Sep 12, 1998·Plastic and Reconstructive Surgery·L BotteroD Renier
Jun 4, 2002·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Takeyoshi ShimojiYasuo Ochiai
Oct 20, 2004·Journal of Pediatric Psychology·Matthew L SpeltzGeraldine Dawson
Feb 17, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Henry E AryanMichael L Levy
Jun 14, 2006·The Journal of Craniofacial Surgery·Burt M Greenberg, Steven J Schneider
Nov 23, 2006·The Journal of Craniofacial Surgery·Denise E HillingJ Michiel Vaandrager
Sep 28, 2007·Plastic and Reconstructive Surgery·Jeffrey A FearonJack C Yu
Nov 28, 2007·Developmental Medicine and Child Neurology·C Wiegand, P Richards
Sep 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Javier Esparza, José Hinojosa
Apr 22, 2009·The Journal of Craniofacial Surgery·Jacques J N M van der MeulenUNKNOWN Dutch Craniofacial Unit
Oct 10, 2009·The Journal of Craniofacial Surgery·Sassan KeshavarziMichael L Levy
Jan 27, 2010·American Journal of Medical Genetics. Part a·Pedro A Sanchez-LaraUNKNOWN National Birth Defects Prevention Study
Jan 15, 2011·The Journal of Craniofacial Surgery·Abdoljalil Kalantar HormoziHamid Reza Hallaj Mofrad
Mar 3, 2011·Journal of Neurosurgery. Pediatrics·Fatma OzlenPamir Erdincler
Jul 5, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Michael EngelRobin Seeberger
Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jacques van der Meulen
Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·James Tait GoodrichOren Tepper
May 2, 2015·Neurosurgical Focus·Shane K F SealDouglas J Courtemanche
Dec 28, 2016·Plastic and Reconstructive Surgery·Martijn J CornelissenIrene M J Mathijssen

❮ Previous
Next ❯

Citations

Sep 27, 2018·Plastic and Reconstructive Surgery·Mirko S Gilardino
Jan 22, 2019·The Journal of Craniofacial Surgery·Hamidreza NatghianDavid Johnson
Mar 26, 2019·Plastic and Reconstructive Surgery·Chenzhi Lai, Xiaolei Jin
Mar 26, 2019·Plastic and Reconstructive Surgery·Hamidreza NatghianSteven Wall
Oct 9, 2019·Plastic and Reconstructive Surgery. Global Open·Fatma TuncerNiyant Patel
Jun 6, 2020·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Eduardo CalpenaAndrew O M Wilkie
Sep 25, 2020·The Journal of Craniofacial Surgery·Marcio Brussius CoelhoMark Gianoutsos
Sep 16, 2019·Annales de chirurgie plastique et esthétique·E ArnaudP H Meyer
Oct 1, 2019·Neuro-Chirurgie·C MocquardL Riffaud
Jul 29, 2021·The Journal of Craniofacial Surgery·Jason A RamseyChristopher M Bonfield
Jan 27, 2021·The Journal of Craniofacial Surgery·Anusha HennedigeBenjamin Robertson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Related Papers

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Steven R CohenW J Peacock
The Journal of Craniofacial Surgery
Sassan KeshavarziMichael L Levy
© 2022 Meta ULC. All rights reserved