Surgical treatment of XXXX : technique and long-term results in 48 cases.

@entity1 @entity308 @entity10700 @entity79 @entity5707 @entity91 @entity717 @entity85
OBJECT: The authors present their experience in the surgical treatment of @entity91 by @entity79 . The pitfalls and advantages of the surgical technique are discussed, along with the long-term clinical results in 48 consecutive cases. METHODS: Forty-eight consecutive @entity1 in whom @entity91 was diagnosed between 1990 and 2009 were treated with frontal @entity717 and @entity5707 . Of these @entity1 , 38 (79%) were @entity1 and 10 (21%) were @entity1 . The age at the time of surgical treatment ranged between 4 and 42 months (mean    SD 11.4    8.7 months). The average follow-up period was 5.5    4.2 years (range 5 months-19 years). The preoperative and latest postoperative photographs of the @entity1 were evaluated for the following features: 1) shape of the forehead; 2) @entity10700 ; and 3) temporal @entity308 . Scores of 0, 1, or 2 were assigned for each item: 0 was normal, 1 meant moderate @entity85 , and 2 denoted severe @entity85 . RESULTS: In the early postoperative period, no complications were documented. The average hospitalization period was 4 days. Follow-up radiographs or 3D CT scans were obtained at regular intervals. The mean preoperative scores for the evaluated items were 1.38    0.49 for the shape of the forehead, 1.33    0.48 for @entity10700 , and 1.7    0.46 for the temporal @entity308 . The mean postoperative scores were 0.06    0.24 for the shape of the forehead, 0.21    0.4 for @entity10700 , and 0.67    0.48 for the temporal @entity308 . Overall, the total preoperative score dropped from 4.4 to 0.93 postoperatively (p < 0.05). All the @entity1 were contented with the cosmetic results. CONCLUSIONS: Early detection and treatment of metopic suture synostosis has a significant, favorable influence on the outcomes. Good understanding of the structural abnormality and the pathophysiological mechanisms of the possible complications is very important for performing proper surgical reconstruction.
