Journal of Craniofacial Surgery

Skip Navigation LinksHome > May 2013 - Volume 24 - Issue 3 > Cranial Vault Growth in Multiple-Suture Nonsyndromic and Syn...
Journal of Craniofacial Surgery:
doi: 10.1097/SCS.0b013e3182868b4f
Original Articles

Cranial Vault Growth in Multiple-Suture Nonsyndromic and Syndromic Craniosynostosis: A Postoperative Long-Term Anthropometric Follow-Up

Metzler, Philipp MD, DMD; Zemann, Wolfgang MD, DMD; Jacobsen, Christine MD, DMD; Lübbers, Heinz-Theo MD, DMD; Grätz, Klaus Wilhelm MD, DMD; Obwegeser, Joachim Anton MD, DMD

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Abstract: Long-term anthropometric follow-up of cranial vault growth may considerably add valuable information to current literature focusing on treatment strategies for premature multiple-suture craniosynostosis. The aim of this paper was to compare postoperative growth patterns of nonsyndromic and syndromic multiple-suture craniosynostotic children with sex-matched and age-matched children from the typically developing population. Forty-one multiple-suture craniosynostotic patients (19 nonsyndromic and 22 syndromic) were included in this 5-year follow-up. Anthropological data of sex-matched and age-matched normal Swiss children served as a control. A standardized time protocol for anthropometric skull measurements (head circumference and cephalic index) was used. Data were converted into Z-scores for standardized intercenter comparison. All patients showed a marked benefit in cranial vault shape after open skull remodeling. Significant differences in long-term cranial vault growth pattern could be seen between the nonsyndromic and the syndromic groups compared to the control group.

© 2013Wolters Kluwer Health | Lippincott Williams & Wilkins

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