Novel digital measurement system for predicting surgical outcomes in patients with primary non-syndromic craniosynostosis

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-02-21 DOI:10.1016/j.jobcr.2025.01.025

Andrea Grandoch , I Mohammed Barham

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引用次数: 0

Abstract

Objective

With the aim of further optimizing the care of patients with primary non-syndromic craniosynostosis, we describe a novel and clinically feasible measurement method to predict postoperative outcomes and provide an analysis of quality of life.

Design

76 patients with primary non-syndromic craniosynostosis were treated by one surgeon. 47 healthy patients without craniosynostosis formed the control group. All patients had an age between 3 months and 18 years.

Based on manual measurement using callipers, x-ray-imaging and 3-D-photographs of the head, various detailed symmetry and aesthetic indices were collected using a novel digital measurement tool that was integrated into a clinically established programme. These are compared with a healthy control group without craniosynostosis. In addition, perioperative data, a clinical visual assessment of the scars and quality of life were evaluated using a standardised questionnaire.

Results

Individual values show statistically significant deviations from the control group preoperatively and immediately postoperatively, which are typical for the respective form of craniosynostosis. Overall, there were good results in terms of symmetry, aesthetics and satisfaction. Interestingly, the quality of life of operated patients tended to be rated better overall than in the control group.

Conclusion

The detailed measurement technique presented is easy to use and enables an individual, efficient and internationally comparable assessment of the pre- and postoperative findings of patients with primary non-syndromic craniosynostosis. The additional survey of quality of life provides a valuable contribution to the analysis of affected patients.

Abstract Image

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用于预测原发性非综合征性颅缝闭闭患者手术结果的新型数字测量系统

目的为了进一步优化原发性非颅骨发育不良患者的护理，我们介绍了一种新颖且临床可行的测量方法，用于预测术后效果并提供生活质量分析。设计76名原发性非颅骨发育不良患者由一名外科医生进行治疗。47 名没有颅骨发育不良的健康患者组成对照组。所有患者的年龄都在 3 个月到 18 岁之间。根据使用卡尺进行的人工测量、X 光成像和头部三维照片，我们使用一种新型数字测量工具收集了各种详细的对称性和美学指数，并将其整合到临床既定程序中。这些数据与没有颅骨发育不良的健康对照组进行了比较。此外，还使用标准化问卷对围手术期数据、疤痕的临床视觉评估和生活质量进行了评估。结果个人数值显示，术前和术后即刻与对照组相比有显著的统计学偏差，这在相应的颅颧骨发育不良中很典型。总体而言，在对称性、美观度和满意度方面都取得了良好的效果。有趣的是，手术组患者的总体生活质量评分往往优于对照组。结论：所介绍的详细测量技术易于使用，可对原发性非畸形颅脑发育不良患者的术前、术后结果进行个性化、高效和国际可比的评估。对生活质量的额外调查为分析受影响的患者做出了宝贵贡献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.