Establishment of Objective Clinical Parameters for Assessment of Trigonocephaly : Are Caliper-Derived Clinical Measures Adequate?
Copyright © 2021 by Mutaz B. Habal, MD..
OBJECTIVE: Objective clinical parameters characterizing the severity of trigonocephaly are essential given the concern for computerized tomography (CT) scans and radiation in infants. The present study seeks to develop a clinical tool by which to characterize trigonocephaly.
DESIGN: Retrospective cohort study.
SETTING: Tertiary academically affiliated children's medical center.
PARTICIPANTS: A retrospective review identified patients with trigonocephaly for whom surgery was recommended (group 1) and those with metopic ridging without significant trigonocephaly (group 2). Normal age-matched controls were also evaluated (group 3).
INTERVENTIONS: Cranial vault caliper measurements were compared across groups. Two ratios measuring anterior vault constriction were developed: (1) bitemporal width at the mid-forehead to the biparietal width, and (2) bitemporal width at the lateral brow to the biparietal width.
MAIN OUTCOME MEASURES: Bitemporal width to biparietal width (ratio).
RESULTS: Caliper measures were obtained from 19 patients in group 1, 8 patients in group 2, and 19 patients in group 3 (controls). Cranial indices were not significantly different across groups. The bitemporal width at the mid-forehead to the biparietal width ratio was significantly lower in group 1, with no difference between groups 2 and 3. The bitemporal width at the lateral brow to the biparietal width ratio was significantly different between all 3 groups, with group 1 < group 2 < group 3, respectively.
CONCLUSIONS: Bitemporal to biparietal ratios are a quantitative, objective clinical measure that can be used to differentiate patients with significant trigonocephaly from those with metopic ridging but no significant cranial deformity. These findings suggest that caliper-derived indices can assist in characterizing surgically relevant cranial vault deformities secondary to metopic synostosis and may circumvent CT-based analysis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
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| Enthalten in: |
The Journal of craniofacial surgery - 33(2022), 1 vom: 01. Jan., Seite 259-263 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Yan, Yufan [VerfasserIn] |
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| Anmerkungen: |
Date Completed 03.01.2022 Date Revised 03.01.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/SCS.0000000000008061 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM328792888 |
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| 100 | 1 | |a Yan, Yufan |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Establishment of Objective Clinical Parameters for Assessment of Trigonocephaly |b Are Caliper-Derived Clinical Measures Adequate? |
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| 500 | |a Date Completed 03.01.2022 | ||
| 500 | |a Date Revised 03.01.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 by Mutaz B. Habal, MD. | ||
| 520 | |a OBJECTIVE: Objective clinical parameters characterizing the severity of trigonocephaly are essential given the concern for computerized tomography (CT) scans and radiation in infants. The present study seeks to develop a clinical tool by which to characterize trigonocephaly | ||
| 520 | |a DESIGN: Retrospective cohort study | ||
| 520 | |a SETTING: Tertiary academically affiliated children's medical center | ||
| 520 | |a PARTICIPANTS: A retrospective review identified patients with trigonocephaly for whom surgery was recommended (group 1) and those with metopic ridging without significant trigonocephaly (group 2). Normal age-matched controls were also evaluated (group 3) | ||
| 520 | |a INTERVENTIONS: Cranial vault caliper measurements were compared across groups. Two ratios measuring anterior vault constriction were developed: (1) bitemporal width at the mid-forehead to the biparietal width, and (2) bitemporal width at the lateral brow to the biparietal width | ||
| 520 | |a MAIN OUTCOME MEASURES: Bitemporal width to biparietal width (ratio) | ||
| 520 | |a RESULTS: Caliper measures were obtained from 19 patients in group 1, 8 patients in group 2, and 19 patients in group 3 (controls). Cranial indices were not significantly different across groups. The bitemporal width at the mid-forehead to the biparietal width ratio was significantly lower in group 1, with no difference between groups 2 and 3. The bitemporal width at the lateral brow to the biparietal width ratio was significantly different between all 3 groups, with group 1 < group 2 < group 3, respectively | ||
| 520 | |a CONCLUSIONS: Bitemporal to biparietal ratios are a quantitative, objective clinical measure that can be used to differentiate patients with significant trigonocephaly from those with metopic ridging but no significant cranial deformity. These findings suggest that caliper-derived indices can assist in characterizing surgically relevant cranial vault deformities secondary to metopic synostosis and may circumvent CT-based analysis | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Janes, Lindsay E |e verfasserin |4 aut | |
| 700 | 1 | |a Gosain, Arun K |e verfasserin |4 aut | |
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