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Apert Syndrome Outcomes: Comparison of Posterior Vault Distraction Osteogenesis Versus Fronto Orbital Advancement
- Source :
- The Journal of craniofacial surgery. 33(1)
- Publication Year :
- 2021
-
Abstract
- BACKGROUND Presenting a wide clinical spectrum and large variety of clinical features, successful treatment of Apert syndrome necessitates performance of sequential multiple surgeries before a patient's facial skeleton growth is complete.The objective of this study is to compare forehead contour asymmetry and clinical outcomes between Apert patients who underwent either fronto-orbital advancement (FOA) or posterior vault distraction osteogenesis (PVDO). METHODS A retrospective study was performed on consecutive patients with Apert syndrome who underwent either FOA or PVDO between 2007 and 2019, and participated in at least 6 months of follow-up care. Forehead contour asymmetry and surgical outcomes for each of the included patients were verified through medical records, clinical photographs, and interviews with the parents of the patients. The need for additional craniofacial procedures based on the surgical outcomes of each patient was graded from I to IV utilizing the Whitaker outcome classification system. RESULTS Forehead contour asymmetry for all included patients was rated under the Whitaker grading scale as type II (n = 4) 44.4%, type III (n = 2) 22.2%, and type IV (n = 3) 33.3% for FOA, and type I (n = 5) 35.7%, type II (n = 7) 50%, and type III (n = 2) 14.3%, for PVDO (P
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Osteogenesis, Distraction
Apert syndrome
Craniosynostoses
medicine
Humans
Craniofacial
Retrospective Studies
business.industry
Medical record
Skull
Infant
Retrospective cohort study
General Medicine
Acrocephalosyndactylia
medicine.disease
Surgery
medicine.anatomical_structure
Otorhinolaryngology
Forehead
Facial skeleton
Distraction osteogenesis
business
Grading scale
Subjects
Details
- ISSN :
- 15363732
- Volume :
- 33
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- The Journal of craniofacial surgery
- Accession number :
- edsair.doi.dedup.....b78fadfa019e8f144d1435528a41ec43