Temporal hollowing following surgical correction of unicoronal XXXX .

@entity8213 @entity1 @entity308
BACKGROUND: Temporal hollowing occurs frequently following surgical correction of unicoronal @entity8213 . This is characterized by a @entity308 in the posterolateral orbitotemporal region. Both soft-tissue and bony causes have been postulated to underpin this problem. The authors investigated the soft-tissue and bony morphology of the temporal region in surgically treated unicoronal @entity8213 @entity1 . METHODS: A retrospective analysis of adolescent @entity1 with temporal hollowing who underwent unicoronal @entity8213 repair as @entity1 was carried out. Demographic data and computed tomographic craniometric parameters were obtained and analyzed using the t test. Photographs were graded subjectively and compared with quantitative data. RESULTS: Fifteen @entity1 (seven @entity1 and eight @entity1 ; mean age, 13 years) were identified. Seventeen @entity1 (10 @entity1 and seven @entity1 ; mean age, 14 years) were used as controls. The affected side showed temporal constriction, compared with controls, along the supraorbit and anterior temple. The sella-to-pterion distance was also less, but not statistically so. Soft-tissue analysis revealed decreased thickness of the affected temporalis muscle compared with unaffected and control sides (range, 1 to 3 mm less). The affected fat pad width was not statistically different from unaffected and controls. Subjective clinical grading did not demonstrate statistical correlations with quantitative data. CONCLUSIONS: Temporal hollowing occurs following surgical correction of unicoronal @entity8213 , despite original overcorrection, because of bony constriction along the anterior bandeau. Decreased thickness of the temporalis muscle may also contribute to this @entity308 , whereas the superficial fat pad does not play a role. Subjective clinical scoring does not strictly correlate with severity of craniometric measurements. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.(Figure is included in full-text article.).
