title: Cephalic index in the evaluation of surgical treatment of children with sagittal synostosis. Preliminary report.
abstract: OBJECTIVE
  To analyze changes of the cephalic index (CI) values in patients with sagittal synostosis operated on in the Department of Surgery of Children and Adolescents of the Institute of Mother and Child in Warsaw.
  
  
  METHODS
  The study group consisted of 14 consecutive cases (11 boys and 3 girls). In 8 patients younger than 3 months of age (1st subgroup) the modified reversed-pi technique (craniotomy in the shape of the reversed Greek π letter) was utilized. In 6 older infants and in patients with severe head deformity - the radical cranial vault reconstructions were performed (2nd subgroup). The statistical analysis of the preoperative (preop) and postoperative (postop) cephalic index (CI) values was done.
  
  
  RESULTS
  For the entire study group the preop CI values ranged from 61 to 77 (mean 68.14, median 68.5) and postop CIs from 73 to 89 (mean 77.64, median 76). In the 1st subgroup the preop CIs ranged from 63 to 77 (mean 69.625, median 69) whereas the postop CIs from 69 to 89 (mean 78.125, median 76.5). In the 2nd subgroup the preop CI values ranged from 61 to 72 (mean 66.1667, median 66) and postop from 73 to 81 (mean 77, median 77). All the differences were statistically significant.
  
  
  CONCLUSIONS
  The values of cephalic index increased after both types of procedures. It signifies the correction of dolichocephaly in both subgroups of the patients. However, because of the small number of operated children, further studies are necessary.
authors: Klinika Chirurgii Dzieci i Młodzieży, Instytut Matki i Dziecka, ul. Kasprzaka 17a, 01-211 Warszawa, tel.: (22) 32-77-386, e-mail: klinika.chirurgii@imid.med.pl.
authors: Sławomir
authors: S
authors: Barszcz
authors: Maria
authors: M
authors: Boczar
authors: Ewa
authors: E
authors: Sawicka
authors: Magdalena
authors: M
authors: Połeć
authors: Anna
authors: A
authors: Zielińska
authors: Agnieszka
authors: A
authors: Maryniak
authors: Jarosław
authors: J
authors: Mądzik
mesh_terms: D002508:Cephalometry / Q000379:methods*; D003393:Cranial Sutures / Q000601:surgery; D003398:Craniosynostoses / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011044:Poland; D011182:Postoperative Care / Q000379:methods; D012886:Skull / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome