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Cranioplasty for midline metopic suture defects in adults with cleidocranial dysplasia.

Abstract

OBJECTIVE

Patients with cleidocranial dysplasia often express concerns related to their perception of an undesirable esthetic appearance of their forehead and skull because of a combination of the persistence of metopic suture defects and frontal bossing. This case series reviews the use of a cranioplasty technique that has been developed to address such concerns.

STUDY DESIGN

A series of 7 adult patients with cleidocranial dysplasia were treated using a cranioplasty technique to correct visible metopic suture defects in the forehead region. The patients were 4 males and 3 females with a mean age of 29.0 years. All 7 patients underwent identical cranioplasty procedures.

RESULTS

The metopic suture cranial defects were found to range in size from 0.6 to 2.4 cm in diameter and were present as full-thickness osseous defects in 4 of the 7 patients. All postoperative complications resolved spontaneously. Inpatient admission times ranged from 1 to 3 days. Follow-up ranged from 9 to 48 months with satisfactory subjective esthetic outcomes. The patients were content in all cases.

CONCLUSION

This cranioplasty procedure successfully addresses the specific esthetic concerns of a rare and unique group of individuals. The procedure can be offered to cleidocranial dysplasia patients as part of their overall comprehensive craniomaxillofacial management.

Authors+Show Affiliations

Division of Oral and Maxillofacial Surgery, University of Toronto, Toronto, Ontario, Canada.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17234531

Citation

McGuire, Taylor P., et al. "Cranioplasty for Midline Metopic Suture Defects in Adults With Cleidocranial Dysplasia." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, vol. 103, no. 2, 2007, pp. 175-9.
McGuire TP, Gomes PP, Lam DK, et al. Cranioplasty for midline metopic suture defects in adults with cleidocranial dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(2):175-9.
McGuire, T. P., Gomes, P. P., Lam, D. K., & Sándor, G. K. (2007). Cranioplasty for midline metopic suture defects in adults with cleidocranial dysplasia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 103(2), 175-9.
McGuire TP, et al. Cranioplasty for Midline Metopic Suture Defects in Adults With Cleidocranial Dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(2):175-9. PubMed PMID: 17234531.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cranioplasty for midline metopic suture defects in adults with cleidocranial dysplasia. AU - McGuire,Taylor P, AU - Gomes,Petrus P, AU - Lam,David K, AU - Sándor,George K B, Y1 - 2006/08/10/ PY - 2005/11/22/received PY - 2006/01/30/revised PY - 2006/02/21/accepted PY - 2007/1/20/pubmed PY - 2007/1/31/medline PY - 2007/1/20/entrez SP - 175 EP - 9 JF - Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics JO - Oral Surg Oral Med Oral Pathol Oral Radiol Endod VL - 103 IS - 2 N2 - OBJECTIVE: Patients with cleidocranial dysplasia often express concerns related to their perception of an undesirable esthetic appearance of their forehead and skull because of a combination of the persistence of metopic suture defects and frontal bossing. This case series reviews the use of a cranioplasty technique that has been developed to address such concerns. STUDY DESIGN: A series of 7 adult patients with cleidocranial dysplasia were treated using a cranioplasty technique to correct visible metopic suture defects in the forehead region. The patients were 4 males and 3 females with a mean age of 29.0 years. All 7 patients underwent identical cranioplasty procedures. RESULTS: The metopic suture cranial defects were found to range in size from 0.6 to 2.4 cm in diameter and were present as full-thickness osseous defects in 4 of the 7 patients. All postoperative complications resolved spontaneously. Inpatient admission times ranged from 1 to 3 days. Follow-up ranged from 9 to 48 months with satisfactory subjective esthetic outcomes. The patients were content in all cases. CONCLUSION: This cranioplasty procedure successfully addresses the specific esthetic concerns of a rare and unique group of individuals. The procedure can be offered to cleidocranial dysplasia patients as part of their overall comprehensive craniomaxillofacial management. SN - 1528-395X UR - https://www.unboundmedicine.com/medline/citation/17234531/Cranioplasty_for_midline_metopic_suture_defects_in_adults_with_cleidocranial_dysplasia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1079-2104(06)00111-9 DB - PRIME DP - Unbound Medicine ER -