Biparietal remodelling and total vault remodelling in scaphocephaly—a comparative study using 3d stereophotogrammetry

Spazzapan, Peter (author), Verdenik, Miha (author), Velnar, Tomaž (author)

Purpose The aim of the study was to compare the results of two surgical techniques for the treatment of isolated sagittal synostosis (ISS) by means of 3D stereophotogrammetry. One technique, the Renier’s “H” technique (RHT) comprised a biparietal expansion, the other, the total vault remodeling (TVR) included also a frontal remodeling. Methods The two groups of operated children were compared with a third control group of normocephalic children. The 3D scanning was performed in all children between 12 and 245 months of age. On each 3D image six measurements and indices have been made, with the aim of evaluating not only length and width of the head, but also the height. The cranial index (CI) was measured in a plane parallel to the nasion-tragus plane, at the intersection with the opisthocranion. Results Each of the three groups (RHT, TVR, control group) included 28 children. The measurements that were influenced by the correction of the frontal bossing, namely the CI and the sagittal length, were closer to normocephaly after TVR than after RHT. Lesser or no statistical difference was documented in the measurements evaluating the biparietal aspect and the height of the vertex, indicating that the biparietal expansion is effective in both procedures. Conclusion Based on our results TVR results in a better esthetical outcome, particularly in relation to the direct surgical remodeling of the frontal bossing.

• Language: English
• Keywords: biparietal remodelling, comparative study, stereophotogrammetry, scaphocephaly, 3D stereophotogrammetry, craniosynostosis, cranial index
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Year: 2024
• Number of pages: Str. 517–526
• Numbering: Vol. 40, iss. 2
• PID: 20.500.12556/RUL-158156
• UDC: 61
• ISSN on article: 1433-0350
• DOI: 10.1007/s00381-023-06115-8
• COBISS.SI-ID: 196409091
• Publication date in RUL: 27.05.2024

Record is a part of a journal

• Title: Child's nervous system
• Publisher: Springer Nature
• ISSN: 1433-0350
• COBISS.SI-ID: 2477332

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.