Plastic and reconstructive surgery · 2025
Evaluating long-term outcomes of fronto-orbital advancement in metopic synostosis: insights from 3D photogrammetry.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Tio Pauline A E, Mathijssen Irene M J, van Veelen Marie-Lise C, Pleumeekers Mieke M, Abdel Alim Tareq
Аннотация
BACKGROUND: Current literature on long-term surgical outcomes in patients with metopic synostosis is highly heterogeneous, with inconsistent outcome measures and varying follow-up durations. As a result, there is a lack of reliable data on post-surgical outcomes in late adolescence. The primary objective of this study was to objectively evaluate the long-term outcomes at skeletal maturity following fronto-orbital advancement (FOA) in patients with metopic synostosis.
METHODS: All patients with isolated metopic synostosis who underwent FOA at Sophia Children's Hospital between 2003-2008 were included. Their data were retrospectively reviewed. Head shape analysis was performed on all available 3D images of patients with metopic synostosis at their last follow-up appointment. CranioRate was used to determine pre-operative severity.
RESULTS: The total cohort consists of 107 patients, who underwent FOA at the median age of 11 months [IQR 9-12]. Head shape analysis on available 3D images at the age of 17 years (n = 48) showed that patients exhibit notable differences in forehead shape compared to healthy controls, characterized by frontal retrusion and temporal depressions. At late adolescence, 3.7% of patients with metopic synostosis who underwent FOA opted for a secondary recontouring procedure using PMMA. No significant differences were observed in factors such as age at primary surgery, sex, and pre-operative severity between those who underwent secondary recontouring and those who did not.
CONCLUSION: At the age of 17 years, patients with metopic synostosis following FOA have evident temporal depressions and frontal retrusion. Initial severity had a minimal effect on these deformities.
METHODS: All patients with isolated metopic synostosis who underwent FOA at Sophia Children's Hospital between 2003-2008 were included. Their data were retrospectively reviewed. Head shape analysis was performed on all available 3D images of patients with metopic synostosis at their last follow-up appointment. CranioRate was used to determine pre-operative severity.
RESULTS: The total cohort consists of 107 patients, who underwent FOA at the median age of 11 months [IQR 9-12]. Head shape analysis on available 3D images at the age of 17 years (n = 48) showed that patients exhibit notable differences in forehead shape compared to healthy controls, characterized by frontal retrusion and temporal depressions. At late adolescence, 3.7% of patients with metopic synostosis who underwent FOA opted for a secondary recontouring procedure using PMMA. No significant differences were observed in factors such as age at primary surgery, sex, and pre-operative severity between those who underwent secondary recontouring and those who did not.
CONCLUSION: At the age of 17 years, patients with metopic synostosis following FOA have evident temporal depressions and frontal retrusion. Initial severity had a minimal effect on these deformities.