Are Endoscopic and Open Treatments of @entity91 Equivalent in Treating XXXX and @entity10700 ?

@entity1 @entity12018 @entity10700 @entity7146 @entity91
BACKGROUND: @entity1 with @entity12018 are traditionally treated with fronto-orbital advancement to correct @entity10700 and @entity91 . Alternatively, endoscopic-assisted treatment comprises narrow ostectomy of the fused suture followed by postoperative helmet therapy. Here we compare the preoperative and 1-year postoperative results in open versus endoscopic repairs. METHODS: We reviewed preoperative and 1-year postoperative three-dimensional reconstructed computed tomography scans of @entity1 treated for nonsyndromic @entity12018 by either open (n = 15) or endoscopic (n = 13) technique. @entity10700 was assessed by interzygomaticofrontal distance and intercanthal distance. @entity91 was assessed by 2 independent angles: first, an axial-plane two-dimensional angle between zygomaticofrontal suture bilaterally and the @entity7146 (ZFR-G-ZFL); second, an interfrontal angle (IFA) between the most anterior point from a reconstructed midsagittal plane and supraorbital notch bilaterally. Age-matched scans of unaffected @entity1 (n = 28) served as controls for each postoperative scan. RESULTS: @entity1 with open repair (9.5    1.8 months) were older at time of surgery than @entity1 with endoscopic repairs (3.3    0.4 months) (P = 0.004). Male-to-female ratios were equivalent at roughly 7:3 in both groups. Preoperatively, the endoscopic group had worse @entity10700 and ZFR-G-ZFL than the open group (P  <= 0.04). After accounting for preoperative differences, all of the postoperative measurements (ie, interzygomaticofrontal distance, intercanthal distance, ZFR-G-ZFL angle, IFA) of the 2 groups were statistically equivalent (P >=  0.135). @entity91 was significantly improved after repair in both the open (8 degrees [ZFR-G-ZFL] and 18 degrees [IFA]) and endoscopic (13 degrees [ZFR-G-ZFL] and 16 degrees [IFA]) groups (P < 0.001). Postoperative measures in both groups were equivalent to controls (0.12 < P < 0.89). Intrarater reliability ranged from 0.93 to 0.99 for all measurements. CONCLUSION: Our retrospective series shows that endoscopic and open repairs of @entity12018 are equivalent in improving @entity10700 and @entity91 at 1-year follow-up. Additional studies are necessary to better define minor differences in morphology, which may result from the different techniques.
