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- W2973127427 abstract "Introduction: Following trigonocephaly corrections does bifrontal width change with growth? Postoperative long-term growth was assessed, as were the impacts of phenotypic severity, surgical timing and operative technique, in order to determine how wide to surgically set bifrontal width. Methods: A retrospective review of all trigonocephaly repairs was performed. Exclusion criteria included syndromic conditions, incomplete records and follow up under 1-year. Anthropometric measurements through the completion of growth were evaluated and compared to sex- and age-matched normal standards for Z score conversion. Results: Of 370 consecutive patients undergoing corrections, 95 had required anthropometric data. The mean surgical age was 10.8 months (range, 2 months - 7 years). The mean follow-up was 54.3 months (range, 12 months - 17.8 years). Sequential measurements revealed progressive increases in bifrontal width. However, following conversion to Z scores the initial overcorrection (mean overcorrection = 8.7 mm; mean Z score = +2.3) steadily diminished to an under-correction (mean measurement -5.5 mm; mean Z score = -1.1). Compared to treatment at an older age (10–12 months), repairs performed under 8-months showed worse growth (p = 0.004). Those more severely affected (lowest bifrontal Z scores) had similar growth to those more mildly impacted. Only two patients (2.1 percent) underwent secondary procedures for recurrences. No correlation was found between anthropological measurements and observers’ assessments of severity. Conclusion: Subnormal bifrontal growth occurs following trigonocephaly corrections, especially with earlier corrections. We calculate that for repairs performed around 11-months, an over-correction of ≈1.5 cm may result in a normal bifrontal width at maturity." @default.
- W2973127427 created "2019-09-19" @default.
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- W2973127427 date "2019-08-01" @default.
- W2973127427 modified "2023-10-17" @default.
- W2973127427 title "S8A-11 SESSION 8A" @default.
- W2973127427 doi "https://doi.org/10.1097/01.gox.0000583244.00834.c3" @default.
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