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Non-syndromic trigonocephaly: surgical decision making and long-term cosmetic results.
- Source :
- Child's Nervous System; Nov2007, Vol. 23 Issue 11, p1285-1289, 5p
- Publication Year :
- 2007
-
Abstract
- Abstract Background  Surgical correction is often required for cosmetic correction of trigonocephaly. The purpose of this paper was to report the long-term aesthetic outcome as appreciated by the parents/patients themselves. The self-evaluation of cosmetic outcome after trigonocephaly correction has not previously been reported. The management and different surgical techniques utilized over a 16-year period are discussed. Materials and methods  An observational study was undertaken of the clinical outcome, operative data, complications and cosmetic satisfaction of these trigonocephaly patients. The parents/child were asked to rate their satisfaction with the cosmetic outcome both in terms of head shape and scar appearance, on a five-point scale (excellentâ5, very goodâ4, goodâ3, fairâ2 and poorâ1). Results  Sixty-three patients presented with non-syndromic trigonocephaly over the 16 years. Nineteen of 63 had a mild form of trigonocephaly and were managed conservatively. The remainder underwent surgical correction. Forty-two of 44 (95%) underwent fronto-orbital advancement with either barrel staving (26/44) or frontal bone rotation/re-modelling (16/44), with 2 of 44 having burring of the metopic ridge. Head shape rating was regarded as excellent in 25 of 63 (40%), very good in 18 of 63 (28%), good in 18 of 63 (28%) and fair in 2 of 63 (4%). Of those that underwent surgery, the scar was zigzag in 32 of 44 and straight in 12 of 44. Scar was rated as being excellent in 21 of 44 (48%), very good in 12 of 44 (28%) good in 11 of 44 (24%). Conclusions  Metopic synostosis can result in varying degrees of severity. Milder forms can be treated conservatively, with more severe forms requiring both frontal bone re-modelling and fronto-orbital advancement. Surgical correction results in a high level of patient/parent satisfaction. [ABSTRACT FROM AUTHOR]
- Subjects :
- DECISION making
CHOICE (Psychology)
AUTHORITY
BRAINSTORMING
Subjects
Details
- Language :
- English
- ISSN :
- 02567040
- Volume :
- 23
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Child's Nervous System
- Publication Type :
- Academic Journal
- Accession number :
- 26649841
- Full Text :
- https://doi.org/10.1007/s00381-007-0386-6