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Photogrammetric evaluation of corrective surgery for trigonocephaly

The aim of this study was to capture preoperative, postoperative, and follow-up head shapes of male trigonocephaly patients who underwent frontoorbital remodelling (FOR), using three-dimensional (3D) photography. Fifty-seven male infants with metopic synostosis operated on using standardized FOR dur...

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Main Authors: Kühle, Reinald (Author) , Ewerbeck, N. (Author) , Rückschloß, Thomas (Author) , Ristow, Oliver (Author) , El Damaty, Ahmed (Author) , Freudlsperger, Christian (Author) , Hoffmann, Jürgen (Author) , Engel, Michael (Author)
Format: Article (Journal)
Language:English
Published: 3 July 2021, Version of Record 7 January 2022
In: International journal of oral and maxillofacial surgery
Year: 2022, Volume: 51, Issue: 1, Pages: 70-77
ISSN:1399-0020
DOI:10.1016/j.ijom.2021.06.003
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ijom.2021.06.003
Verlag, lizenzpflichtig, Volltext: https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=DynamicDOIArticle&SrcApp=WOS&KeyAID=10.1016%2Fj.ijom.2021.06.003&DestApp=DOI&SrcAppSID=E3VntIhzwrMadul6xAF&SrcJTitle=INTERNATIONAL+JOURNAL+OF+ORAL+AND+MAXILLOFACIAL+SURGERY&DestDOIRegistrantName=Elsevier
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Author Notes:R. Kuehle, N. Ewerbeck, T. Rückschloß, O. Ristow, A. El Damaty, C. Freudlsperger, J. Hoffmann, M. Engel

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520 |a The aim of this study was to capture preoperative, postoperative, and follow-up head shapes of male trigonocephaly patients who underwent frontoorbital remodelling (FOR), using three-dimensional (3D) photography. Fifty-seven male infants with metopic synostosis operated on using standardized FOR during a 5-year period were included. All measurements were compared with those of an age-matched healthy control cohort (n = 253 for early postoperative comparison, n = 43 for the 1-year follow-up comparison) to determine the effect of FOR at 14 days and at 1 year post-surgery. Intracranial volume, frontal angle, nasofrontal angle, interfrontoparietal-interparietal ratio, and inter-orbital distances were measured 1 day preoperatively, 14 days and 1 year postoperatively. Mean age at surgery was 9.7 = 1.1 months. Prior to surgery, boys with metopic synostosis showed a reduced interfrontoparietal-interparietal ratio (-4.9%, P < 0.01), and orbital distances (-6.5%, P < 0.001) compared to the reference group, but values did not differ significantly from the specific control group after surgery (all P> 0.05). This was consistent by the time of the follow-up examination. Corrective surgery should therefore aim to achieve volume expansion and correction of the deformity. Furthermore, 3D photogrammetry provides a valuable alternative to computed tomography scans in the diagnosis of metopic synostosis, significantly reducing the amount of radiation exposure to the brain. 
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650 4 |a metopic suture synostosis 
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650 4 |a surgical-correction 
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