caa a22 4500 46318131X CHVBK 20180406164839.0 cr unu---uuuuu 170326e20071101xx s 000 0 eng 10.1007/s00381-007-0386-6 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0386-6 Non-syndromic trigonocephaly: surgical decision making and long-term cosmetic results [Elektronische Daten] [Michael Kelleher, Dylan Murray, Anne McGillivary, Mahmoud Kamel, David Allcutt, Michael Earley] Background: Surgical correction is often required for cosmetic correction of trigonocephaly. The purpose of this paper was to report the long-term aesthetic outcome as appreciated by the parents/patients themselves. The self-evaluation of cosmetic outcome after trigonocephaly correction has not previously been reported. The management and different surgical techniques utilized over a 16-year period are discussed. Materials and methods: An observational study was undertaken of the clinical outcome, operative data, complications and cosmetic satisfaction of these trigonocephaly patients. The parents/child were asked to rate their satisfaction with the cosmetic outcome both in terms of head shape and scar appearance, on a five-point scale (excellent—5, very good—4, good—3, fair—2 and poor—1). Results: Sixty-three patients presented with non-syndromic trigonocephaly over the 16years. Nineteen of 63 had a mild form of trigonocephaly and were managed conservatively. The remainder underwent surgical correction. Forty-two of 44 (95%) underwent fronto-orbital advancement with either barrel staving (26/44) or frontal bone rotation/re-modelling (16/44), with 2 of 44 having burring of the metopic ridge. Head shape rating was regarded as excellent in 25 of 63 (40%), very good in 18 of 63 (28%), good in 18 of 63 (28%) and fair in 2 of 63 (4%). Of those that underwent surgery, the scar was zigzag in 32 of 44 and straight in 12 of 44. Scar was rated as being excellent in 21 of 44 (48%), very good in 12 of 44 (28%) good in 11 of 44 (24%). Conclusions: Metopic synostosis can result in varying degrees of severity. Milder forms can be treated conservatively, with more severe forms requiring both frontal bone re-modelling and fronto-orbital advancement. Surgical correction results in a high level of patient/parent satisfaction. Springer-Verlag, 2007 Trigonocephaly nationallicence Scar nationallicence Head shape nationallicence Surgery nationallicence Conservative nationallicence Kelleher Michael Department of Neurosurgery, Beaumont Hospital, 9, Dublin, Republic of Ireland aut Murray Dylan Cleft and Craniofacial Department, Children's University Hospital, Temple Street, Dublin, Republic of Ireland aut McGillivary Anne Cleft and Craniofacial Department, Children's University Hospital, Temple Street, Dublin, Republic of Ireland aut Kamel Mahmoud Department of Neurosurgery, Beaumont Hospital, 9, Dublin, Republic of Ireland aut Allcutt David Department of Neurosurgery, Beaumont Hospital, 9, Dublin, Republic of Ireland aut Earley Michael Cleft and Craniofacial Department, Children's University Hospital, Temple Street, Dublin, Republic of Ireland aut Child's Nervous System Springer-Verlag 23/11(2007-11-01), 1285-1289 0256-7040 23:11<1285 2007 23 381 https://doi.org/10.1007/s00381-007-0386-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0386-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kelleher Michael Department of Neurosurgery, Beaumont Hospital, 9, Dublin, Republic of Ireland aut NATIONALLICENCE 700 1- Murray Dylan Cleft and Craniofacial Department, Children's University Hospital, Temple Street, Dublin, Republic of Ireland aut NATIONALLICENCE 700 1- McGillivary Anne Cleft and Craniofacial Department, Children's University Hospital, Temple Street, Dublin, Republic of Ireland aut NATIONALLICENCE 700 1- Kamel Mahmoud Department of Neurosurgery, Beaumont Hospital, 9, Dublin, Republic of Ireland aut NATIONALLICENCE 700 1- Allcutt David Department of Neurosurgery, Beaumont Hospital, 9, Dublin, Republic of Ireland aut NATIONALLICENCE 700 1- Earley Michael Cleft and Craniofacial Department, Children's University Hospital, Temple Street, Dublin, Republic of Ireland aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/11(2007-11-01), 1285-1289 0256-7040 23:11<1285 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer