title: Evaluating Children With Metopic Craniosynostosis: The Cephalic Width-Intercoronal Distance Ratio.
abstract: To identify an additional objective measure to aid in the evaluation of children with isolated metopic craniosynostosis.
  
  
  
  This is a retrospective study comparing specific computed tomography scan measurements between surgical and nonsurgical cohorts of children with isolated metopic craniosynostosis. Children were included if they were diagnosed with isolated metopic craniosynostosis and ultimately underwent computed tomography scan imaging as part of their evaluation. The subjects were placed in the surgical or nonsurgical cohorts on the basis of the final treatment recommendation after they completed a full multidisciplinary, multimodality evaluation. Comparisons were made with a control group of unaffected patients from our institutional trauma registry.
  
  
  
  Tertiary academic institution.
  
  
  
  The subjects are patients who had been previously evaluated in our clinic for isolated metopic craniosynostosis and received a computed tomography scan as part of their workup.
  
  
  
  The average intercoronal distances were significantly different among all three groups (P < .002). The average cephalic width-intercoronal distance ratio for children who received a recommendation for surgery differed significantly from that of both the observation cohort and the control group (P < .001). However, the cephalic width-intercoronal distance ratio did not differ between the observation cohort and the control group (P = .927).
  
  
  
  The cephalic width-intercoronal distance ratio may be an additional objective measurement to aid in the clinical evaluation of children with metopic craniosynostosis.
authors.forename: Thomas W
authors.initials: TW
authors.lastname: McEwan
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Martin
authors.forename: Tomoko
authors.initials: T
authors.lastname: Tanaka
authors.forename: Kristina
authors.initials: K
authors.lastname: Aldridge
authors.forename: Arshad R
authors.initials: AR
authors.lastname: Muzaffar
mesh_terms: D002508:Cephalometry; D002675:Child, Preschool; D003398:Craniosynostoses / Q000175:diagnosis*; D005260:Female; D006257:Head / Q000033:anatomy & histology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
keywords: cephalic width; computed tomography; craniosynostosis; intercoronal distance; metopic; trigonocephaly