Percentile-based assessment of craniosynostosis
| Autor: | Uta Bierther, Petros Christophis, Thomas Nord, Jan-Falco Wilbrand, Philipp Streckbein, Hans-Peter Howaldt, Marcus Reinges, Andreas Hahn, Christopher Kähling |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Percentile Cephalometry Dentistry Trigonocephaly Patient Care Planning Craniosynostosis Cohort Studies Parietal Bone Craniosynostoses medicine Humans Craniofacial Unicoronal synostosis Anthropometry business.industry Age Factors Scaphocephaly Infant medicine.disease Sagittal plane medicine.anatomical_structure Otorhinolaryngology Occipital Bone Frontal Bone Female Surgery Oral Surgery Plagiocephaly business |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery. 42:634-640 |
| ISSN: | 1010-5182 |
| DOI: | 10.1016/j.jcms.2013.09.005 |
| Popis: | Perioperative assessment of craniosynostosis is based mostly on subjective scores. In this study, we sought to find an objective method to assess cranial deformation based on normative craniofacial percentiles. Anthropometric datasets from 104 (79 males, 25 females) patients with craniosynostoses were included. Anthropometric data were compared with normative age-dependent percentiles. Deviations above the 90th or below the 10th percentile were defined as significant cranial deformation. The cohort comprised 69 children with sagittal, 22 metopic, nine coronal, two bicoronal, one lambdoid, and one with coronal + lambdoid craniosynostosis. Most children with sagittal synostosis were above the 90th percentile for cranial circumference and length, whereas only 27.9% were below the 10th percentile for cranial width. Most (83%) children with scaphocephaly had cranial indices below the 10th percentile. For trigonocephaly, we found normal cranial circumference values in most patients (10th–90th percentile), 40.9% were above the 90th percentile for cranial length, and 63.1% and 57.9% were above the 90th percentiles for sagittal and transverse circumferences. For unicoronal synostosis transverse circumference was above the 90th percentile in 83.3% of children. Matching of anthropometric data of craniosynostosis patients with craniofacial norms could be useful in grading the clinical picture and potentially adapting the operative procedure. |
| Databáze: | OpenAIRE |
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