Aesthetic results in children with single suture craniosynostosis: proposal for a modified Whitaker classification

Autor: Mahmoud Messerer, Rachel Cottier, Alberto Vandenbulcke, Amani Belouaer, Roy T. Daniel, Martin Broome, Giulia Cossu
Rok vydání: 2022
Předmět:
Zdroj: Child's Nervous System. 39:221-228
ISSN: 1433-0350
0256-7040
Popis: Objective Aesthetic assessment after surgery for non-syndromic single suture craniosynostosis (SSC) is crucial. Surgeons’ evaluation is generally based on Whitaker classification, while parental impression is generally neglected. The aim of this paper is to compare aesthetic perceptions of parents and surgeons after surgery for SSC, expressed by a 10-item questionnaire that complement Whitaker’s classification. Methods The authors submitted a 10-item questionnaire integrating Whitaker’s classification in order to evaluate the degree of satisfaction, the detailed aesthetics results and the need for surgical revision, to surgeons and parents of a consecutive series of patients operated for SSC between January 2007 and December 2018. The results were collected blindly. Results A total of 70 patients were included in the study. Scaphocephaly and trigonocephaly were the two most frequent craniosynostosis. Parents and surgeons general aesthetics evaluation and average rating for Whitaker’s classification were 1.86 vs 1.67 (p = 0.69) and 1.19 vs 1.1 (p = 0.45) respectively. Parents’ evaluation for scar perception and alopecia (p p p = 0.02) are significantly worse when compared to surgeons’ perception. Conclusions Parents seem to be more sensitive to the detection of some aesthetic anomalies and their opinion should not be neglected. The authors propose a modified Whitaker classification based on their results to better stratify the aesthetic outcome after surgery for SSC.
Databáze: OpenAIRE
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