Tags

Type your tag names separated by a space and hit enter

Influence of frontosphenoidal suture synostosis on skull dysmorphology in unicoronal suture synostosis.
J Craniofac Surg. 2012 Nov; 23(6):1709-12.JC

Abstract

Severity of the Harlequin deformity seen in unicoronal synostosis may be augmented when frontoparietal suture synostosis has an associated fusion of the frontosphenoidal suture or in cases of isolated frontosphenoidal synostosis. The purpose of the current study is to characterize various suture fusion patterns along the coronal ring using a modified orbital index (MOI), orbital angle (OA), and endocranial base (EB) angle.This study is a retrospective single institution cohort study. Charts were reviewed over the past 12 years; patients with isolated UCS were included. MOI, OA, and EB were used to identify 3 groups of UCS patients.Twenty-one patients were identified for inclusion in skeletal dysmorphology analysis using MOI, OA, and EB measures. Frontoparietal synostosis patients were diagnosed at significantly younger ages than frontoparietal + frontosphenoidal patients (P = 0.0001). Ipsilateral MOI measures were more severe for frontoparietal patients compared with frontoparietal + frontosphenoidal patients (P = 0.0239). There was a trend for more severe ipsilateral OA measures in frontoparietal patients compared with frontoparietal + frontosphenoidal patients (P = 0.181).Modified orbital index, OA, and EB measurements are useful in the diagnosis of suture fusion patterns in UCS patients. Frontoparietal synostosis has more severe Harlequin deformity compared with frontoparietal + frontosphenoidal patients. Frontosphenoidal fusion coinciding with frontoparietal synostosis may blunt the severity of skeletal dysmorphology in UCS patients and be associated with a delayed diagnosis. Attention must be paid to assessing the frontosphenoidal suture to assure adequate surgical release.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23147332

Citation

Showalter, Brian M., et al. "Influence of Frontosphenoidal Suture Synostosis On Skull Dysmorphology in Unicoronal Suture Synostosis." The Journal of Craniofacial Surgery, vol. 23, no. 6, 2012, pp. 1709-12.
Showalter BM, David LR, Argenta LC, et al. Influence of frontosphenoidal suture synostosis on skull dysmorphology in unicoronal suture synostosis. J Craniofac Surg. 2012;23(6):1709-12.
Showalter, B. M., David, L. R., Argenta, L. C., & Thompson, J. T. (2012). Influence of frontosphenoidal suture synostosis on skull dysmorphology in unicoronal suture synostosis. The Journal of Craniofacial Surgery, 23(6), 1709-12. https://doi.org/10.1097/SCS.0b013e31826beecc
Showalter BM, et al. Influence of Frontosphenoidal Suture Synostosis On Skull Dysmorphology in Unicoronal Suture Synostosis. J Craniofac Surg. 2012;23(6):1709-12. PubMed PMID: 23147332.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of frontosphenoidal suture synostosis on skull dysmorphology in unicoronal suture synostosis. AU - Showalter,Brian M, AU - David,Lisa R, AU - Argenta,Louis C, AU - Thompson,James T, PY - 2012/11/14/entrez PY - 2012/11/14/pubmed PY - 2014/1/10/medline SP - 1709 EP - 12 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 23 IS - 6 N2 - Severity of the Harlequin deformity seen in unicoronal synostosis may be augmented when frontoparietal suture synostosis has an associated fusion of the frontosphenoidal suture or in cases of isolated frontosphenoidal synostosis. The purpose of the current study is to characterize various suture fusion patterns along the coronal ring using a modified orbital index (MOI), orbital angle (OA), and endocranial base (EB) angle.This study is a retrospective single institution cohort study. Charts were reviewed over the past 12 years; patients with isolated UCS were included. MOI, OA, and EB were used to identify 3 groups of UCS patients.Twenty-one patients were identified for inclusion in skeletal dysmorphology analysis using MOI, OA, and EB measures. Frontoparietal synostosis patients were diagnosed at significantly younger ages than frontoparietal + frontosphenoidal patients (P = 0.0001). Ipsilateral MOI measures were more severe for frontoparietal patients compared with frontoparietal + frontosphenoidal patients (P = 0.0239). There was a trend for more severe ipsilateral OA measures in frontoparietal patients compared with frontoparietal + frontosphenoidal patients (P = 0.181).Modified orbital index, OA, and EB measurements are useful in the diagnosis of suture fusion patterns in UCS patients. Frontoparietal synostosis has more severe Harlequin deformity compared with frontoparietal + frontosphenoidal patients. Frontosphenoidal fusion coinciding with frontoparietal synostosis may blunt the severity of skeletal dysmorphology in UCS patients and be associated with a delayed diagnosis. Attention must be paid to assessing the frontosphenoidal suture to assure adequate surgical release. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/23147332/Influence_of_frontosphenoidal_suture_synostosis_on_skull_dysmorphology_in_unicoronal_suture_synostosis_ L2 - https://doi.org/10.1097/SCS.0b013e31826beecc DB - PRIME DP - Unbound Medicine ER -