2017
DOI: 10.3171/2017.1.peds16660
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Three-dimensional changes in head shape after extended sagittal strip craniectomy with wedge ostectomies and helmet therapy

Abstract: OBJECTIVEOutcome studies for sagittal strip craniectomy have largely relied on the 2D measure of the cephalic index (CI) as the primary indicator of head shape. The goal of this study was to measure the 2D and 3D changes in head shape that occur after sagittal strip craniectomy and postoperative helmet therapy.METHODSThe authors performed a retrospective review of patients treated with sagittal strip crani… Show more

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Cited by 24 publications
(37 citation statements)
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“…Which intervention a surgeon chooses to treat MCS with is related to the child’s age at presentation, the surgeon’s training and comfort level with a particular technique, opinions regarding efficacy and durability of outcome, and potential morbidities. Although the purpose of this work was not to delve into all of these, there exists significant evidence to suggest that for sagittal craniosynostosis, LISC results in outcomes that are equivalent or superior to open vault procedures (OCVR) in terms of shape outcome, morbidity, and stress on the child (lower operative blood loss, shorter lengths of anesthesia hospital stay, lesser amounts of swelling and scar burden, and lower overall cost) (Jimenez and Barone, 1998; Barone and Jimenez, 1999; Shah et al, 2011; Jimenez and Barone, 2012; Le et al, 2014; Han et al, 2016; Chou et al, 2017; Goyal et al, 2018). In our study, one surgeon performed 8 LISC procedures, another surgeon performed 2, and a third surgeon performed one.…”
Section: Discussionmentioning
confidence: 99%
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“…Which intervention a surgeon chooses to treat MCS with is related to the child’s age at presentation, the surgeon’s training and comfort level with a particular technique, opinions regarding efficacy and durability of outcome, and potential morbidities. Although the purpose of this work was not to delve into all of these, there exists significant evidence to suggest that for sagittal craniosynostosis, LISC results in outcomes that are equivalent or superior to open vault procedures (OCVR) in terms of shape outcome, morbidity, and stress on the child (lower operative blood loss, shorter lengths of anesthesia hospital stay, lesser amounts of swelling and scar burden, and lower overall cost) (Jimenez and Barone, 1998; Barone and Jimenez, 1999; Shah et al, 2011; Jimenez and Barone, 2012; Le et al, 2014; Han et al, 2016; Chou et al, 2017; Goyal et al, 2018). In our study, one surgeon performed 8 LISC procedures, another surgeon performed 2, and a third surgeon performed one.…”
Section: Discussionmentioning
confidence: 99%
“…The template was deformed to each 3D patient scan using 2 mathematical techniques: thin-plate spline algorithm and closest point deformation. Composite head was calculated by obtaining the average of all the deformed templates for each surgical technique using techniques previously described by our group (Chou et al, 2017; Hallac et al, 2019).…”
Section: Morphometric Analysis Using 3d Photographsmentioning
confidence: 99%
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“…Surgical treatment is very effective in cases of plagiocephaly with craniosynostosis, and various surgical methods are available [12,[52][53][54][55]. However, many studies report that, since there are many cases of recurrence and changes in the shape of the skull after surgery, helmet treatment after surgical treatment, such as craniotomy and distraction osteogenesis of the cranium, is beneficial [7,14,17,[55][56][57][58]. Helmet treatment after surgery does not limit cranial growth and shows excellent functional and cosmetic results in remodeling of the skull shape.…”
Section: Plagiocephaly Accompanied By Craniosynostosis and Helmet Trementioning
confidence: 99%
“…Postoperative helmet treatment can aid in allowing the skull and brain grow normally. The average duration of the treatment is 6-12 months and the treatment is generally continued till the age of 12-18 months [7,14,17,[55][56][57][58].…”
Section: Plagiocephaly Accompanied By Craniosynostosis and Helmet Trementioning
confidence: 99%