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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Engel, Michael Thiele, Oliver C. Mühling, Joachim Hoffmann, Jürgen Freier, Kolja Castrillon-Oberndorfer, Gregor Seeberger, Robin |
| Description | Country affiliation: Germany Author Affiliation: Engel M ( Department of Maxillofacial Surgery, University Hospital Heidelberg, Germany. Michael.engel@med.uni-heidelberg.de) |
| Abstract | Children with nonsyndromatic isolated metopic suture synostosis suffer from a significant deformity of the supraorbital ridges, the temporal regions and hypotelorism. We retrospectively analyzed 54 consecutive cases of isolated nonsyndromatic metopic synostosis treated over a 14-year-period. The data were evaluated using patients' clinical records, skull radiographs in two planes, CT-scans, MRI scans and pre-/post-operative photographs. Surgery with standardized fronto-orbital advancement was performed at a median age of 11.5 months. Follow-up ranged from 4.5 months to 177.4 months, with an average of 51.9 months. The average blood loss was less than 255ml and the average post-operative length of stay was 5 days. Not a single major complication was observed except for uncomplicated dural tears in six cases. According to the classification of Whitaker, results were considered good to excellent (Category I and II) in all except one case (Category IV). As the current techniques have been standardized for routine use, surgical risks are reasonably low with no mortality or permanent morbidity. We think that the treatment of single metopic synostosis is safe with very low reoperation rates and short length of hospital stay. Overall, our results showed acceptable minor complication rates and generally satisfactory aesthetic outcomes. |
| File Format | HTM / HTML |
| ISSN | 10105182 |
| Issue Number | 4 |
| Volume Number | 40 |
| e-ISSN | 18784119 |
| Journal | Journal of Cranio-Maxillofacial Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-06-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Dentistry Discipline General Surgery Craniosynostoses Surgery Frontal Bone Abnormalities Reconstructive Surgical Procedures Methods Blood Loss, Surgical Bone Plates Craniotomy Dura Mater Injuries Esthetics Female Follow-up Studies Hospitalization Humans Infant Length Of Stay Magnetic Resonance Imaging Male Orbit Photography Postoperative Complications Retrospective Studies Risk Assessment Temporal Bone Temporal Muscle Tomography, X-ray Computed Treatment Outcome Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Oral Surgery Otorhinolaryngology Surgery |
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