title: 3D stereophotogrammetric analysis of operative effects after broad median craniectomy in premature sagittal craniosynostosis.
abstract: BACKGROUND
  There is ongoing discussion on the diagnostic methods, the need of surgical treatment, and the surgical strategies for premature craniosynostosis.
  
  
  METHODS
  This study examined the operative procedure of a standardized broad median craniectomy, active tilting of the forehead, and bitemporal greenstick fracturing in children with premature sagittal craniosynostosis. To objectively analyze the direct surgical results, we used a 3D stereophotogrammetry scanner, as previously described.
  
  
  RESULTS
  A 3D analysis showed a significant increase in the width, cranial index (CI), head and coronal circumferences, intracranial volume, and cranial base width after surgery. Head length was the only parameter that demonstrated a significant decrease postoperatively. Asymmetry and the 30° diagonal difference showed no significant changes.
  
  
  CONCLUSIONS
  3D stereophotogrammetry is a reliable and valuable tool with no side effects. It demonstrated that the extended surgical procedure achieves good postoperative results with a reduced length and increased width and, therefore, an improved CI. Additionally, the total intracranial volume was significantly increased after surgery.
authors: Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany, linz_c@klinik.uni-wuerzburg.de.
authors: Christian
authors: C
authors: Linz
authors: Philipp
authors: P
authors: Meyer-Marcotty
authors: Hartmut
authors: H
authors: Böhm
authors: Urs
authors: U
authors: Müller-Richter
authors: Beatrice
authors: B
authors: Jager
authors: Stefan
authors: S
authors: Hartmann
authors: Christiane
authors: C
authors: Reichert
authors: Janka
authors: J
authors: Kochel
authors: Tilmann
authors: T
authors: Schweitzer
mesh_terms: D003398:Craniosynostoses / Q000601:surgery*; D003399:Craniotomy; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D007223:Infant; D008297:Male; D012886:Skull / Q000601:surgery; D016896:Treatment Outcome
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