Secondary surgery in metopic craniosynostosis: Outcomes in a tertiary care craniofacial center in Australia
Issued Date
2022-03-01
Resource Type
ISSN
10492275
eISSN
15363732
Scopus ID
2-s2.0-85126142107
Pubmed ID
35385910
Journal Title
Journal of Craniofacial Surgery
Volume
33
Issue
2
Start Page
539
End Page
542
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Craniofacial Surgery Vol.33 No.2 (2022) , 539-542
Suggested Citation
Chaisrisawadisuk S. Secondary surgery in metopic craniosynostosis: Outcomes in a tertiary care craniofacial center in Australia. Journal of Craniofacial Surgery Vol.33 No.2 (2022) , 539-542. 542. doi:10.1097/SCS.0000000000008333 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86064
Title
Secondary surgery in metopic craniosynostosis: Outcomes in a tertiary care craniofacial center in Australia
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Metopic craniosynostosis is a condition in which the metopic suture is prematurely fused. Trigonocephaly and hypotelorism are the major abnormal findings associated with synostosis. Fronto-orbital advancement with cranial remodelling procedure is the widely practised method for correction of the deformities. Previously, a few studies have shown a low incidence of secondary raised intracranial pressure after the primary surgery. Thus, we reviewed our database to investigate the outcomes of metopic craniosynostosis treatment between 1999 and 2020 in Cleft and Craniofacial South Australia. One hundred twelve patients (77 males and 35 females) with metopic synostosis were operated. The mean age of primary surgery was 11.1 months (range 2.8 – 131.7 months). Ten patients (9%) who had secondary raised intracranial pressure underwent secondary surgery. Among those, the mean age of primary and secondary surgery were 5.4 and 57.1 months, respectively. Syndromic patients were significantly revealed to have a higher incidence of secondary raised intracranial pressure. There were three patients (2.7%) who had other secondary procedures (hardware removal and aesthetic contouring procedures). This cohort identified a higher incidence of secondary raised intracranial pressure requiring secondary surgery than previous studies. Syndromic patients were significantly related to secondary raised intracranial pressure. The patients who had raised intracranial pressure tended to have primary correction at younger age. Long-term multidisciplinary follow-up is mandatory. The demand for secondary surgery for metalwork complications or cosmetic contouring is uncommon.