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Variations of endoscopic and open repair of metopic craniosynostosis.
J Craniofac Surg. 2009 Sep; 20(5):1439-44.JC

Abstract

In contrast to sagittal craniosynostosis, the role of endoscopic, minimally invasive approaches in the treatment of metopic craniosynostosis with resulting trigonocephaly is not as well defined. We reviewed the senior authors' (H.M. and S.C.) clinical experience in the treatment of children with metopic craniosynostosis using a variety of endoscopic and open techniques. Thirty-three patients were treated at a single institution during a 5-year period with between 3 and 8 years of follow-up. Sixteen patients underwent 3 variations of endoscopic approaches, and 17 patients had open fronto-orbital advancement. Clinical parameters of the 2 groups were examined including age at surgery, blood loss, operative time, transfusion volume, hospital stay, complications, use of postoperative cranial banding, and the need for reoperation for persistent deformity. The various endoscopic and open techniques used by the authors in the treatment of metopic craniosynostosis are discussed in detail, including rational for individual technique selection and preliminary impressions regarding clinical outcome.

Authors+Show Affiliations

Department of Surgery, Division of Neurosurgery, Rady Children's Hospital and Health Care Center, University of California-San Diego, 200 W. Arbor Drive, San Diego, CA 92103-8893, USA. skeshavarzi@ucsd.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19816275

Citation

Keshavarzi, Sassan, et al. "Variations of Endoscopic and Open Repair of Metopic Craniosynostosis." The Journal of Craniofacial Surgery, vol. 20, no. 5, 2009, pp. 1439-44.
Keshavarzi S, Hayden MG, Ben-Haim S, et al. Variations of endoscopic and open repair of metopic craniosynostosis. J Craniofac Surg. 2009;20(5):1439-44.
Keshavarzi, S., Hayden, M. G., Ben-Haim, S., Meltzer, H. S., Cohen, S. R., & Levy, M. L. (2009). Variations of endoscopic and open repair of metopic craniosynostosis. The Journal of Craniofacial Surgery, 20(5), 1439-44. https://doi.org/10.1097/SCS.0b013e3181af1555
Keshavarzi S, et al. Variations of Endoscopic and Open Repair of Metopic Craniosynostosis. J Craniofac Surg. 2009;20(5):1439-44. PubMed PMID: 19816275.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Variations of endoscopic and open repair of metopic craniosynostosis. AU - Keshavarzi,Sassan, AU - Hayden,Melanie G, AU - Ben-Haim,Sharona, AU - Meltzer,Hal S, AU - Cohen,Steven R, AU - Levy,Michael L, PY - 2009/10/10/entrez PY - 2009/10/10/pubmed PY - 2010/1/29/medline SP - 1439 EP - 44 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 20 IS - 5 N2 - In contrast to sagittal craniosynostosis, the role of endoscopic, minimally invasive approaches in the treatment of metopic craniosynostosis with resulting trigonocephaly is not as well defined. We reviewed the senior authors' (H.M. and S.C.) clinical experience in the treatment of children with metopic craniosynostosis using a variety of endoscopic and open techniques. Thirty-three patients were treated at a single institution during a 5-year period with between 3 and 8 years of follow-up. Sixteen patients underwent 3 variations of endoscopic approaches, and 17 patients had open fronto-orbital advancement. Clinical parameters of the 2 groups were examined including age at surgery, blood loss, operative time, transfusion volume, hospital stay, complications, use of postoperative cranial banding, and the need for reoperation for persistent deformity. The various endoscopic and open techniques used by the authors in the treatment of metopic craniosynostosis are discussed in detail, including rational for individual technique selection and preliminary impressions regarding clinical outcome. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/19816275/Variations_of_endoscopic_and_open_repair_of_metopic_craniosynostosis_ L2 - https://doi.org/10.1097/SCS.0b013e3181af1555 DB - PRIME DP - Unbound Medicine ER -