title: Craniofacial cephalometric morphology in 8-year-old children with operated sagittal synostosis.
abstract: OBJECTIVE
  To evaluate cephalometrically craniofacial morphology in children with operated sagittal synostosis and to compare the findings with age- and sex-matched controls.
  
  
  METHODS
  Forty-two children (37 boys) with operated primary sagittal synostosis were compared retrospectively with age- and sex-matched controls from lateral cephalograms taken at a mean age of 8.1 (range 7.0-8.9) years.
  
  
  METHODS
  The operations had been performed between the ages of 2 months and 6.3 years at three Finnish hospitals. The surgical methods included strip craniectomy, pi-plasty and cranial vault expansion. A paired Student's t-test and Pearson's correlation analysis were used in the statistical analyses.
  
  
  RESULTS
  Children with operated sagittal synostosis had wide cranial base angles and their mandibles were retrognathic with labially inclined lower incisors relative to the controls. Age at craniosynostosis operation did not correlate with the cranial base angle.
  
  
  CONCLUSIONS
  This study suggests that children with operated sagittal synostosis have minor distinctive morphological features in the cranial base and mandible. Orthodontic evaluation of craniofacial growth is recommended.
authors.affiliation: Cleft Palate and Craniofacial Center, Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
authors.forename: A
authors.initials: A
authors.lastname: Heliövaara
authors.forename: P
authors.initials: P
authors.lastname: Vuola
authors.forename: J
authors.initials: J
authors.lastname: Hukki
mesh_terms: D000367:Age Factors; D016022:Case-Control Studies; D002508:Cephalometry / Q000379:methods*; D002648:Child; D002680:Chin / Q000473:pathology; D003398:Craniosynostoses / Q000601:surgery*; D003399:Craniotomy / Q000379:methods; D005147:Facial Bones / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D007180:Incisor / Q000473:pathology; D008297:Male; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000473:pathology; D009295:Nasal Bone / Q000473:pathology; D009777:Occipital Bone / Q000473:pathology; D010294:Parietal Bone / Q000002:abnormalities / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D063173:Retrognathia / Q000473:pathology; D012189:Retrospective Studies; D012658:Sella Turcica / Q000473:pathology; D012886:Skull / Q000473:pathology*; D019291:Skull Base / Q000473:pathology
keywords: cephalometrics; cranioplasty; craniosynostosis; sagittal suture; scaphocephaly