Abstract:
BACKGROUND:Isolated nonsyndromic bicoronal synostosis is a relatively rare entity that produces a characteristic turribrachycephalic skull shape. The purpose of this study was to evaluate the long-term outcomes of the isolated nonsyndromic bicoronal synostosis patients treated at the authors' institution. METHODS:A retrospective chart review of all patients who underwent cranial vault remodeling for nonsyndromic bicoronal synostosis was performed at the Children's Hospital of Philadelphia from 1991 to 2011. Fifteen patients were identified for this study, and information regarding their demographic, perioperative, and postoperative details were analyzed. RESULTS:Four boys and 11 girls were identified for inclusion in this study. The average age at the time of the initial surgery was 9 months, with an average follow-up of 13.4 years. There were no reported complications. Six patients with at least a 10-year follow-up (six of 10 patients) underwent revision for contour improvement in the forehead and temporal regions, and two patients required a repeated fronto-orbital advancement. Four patients underwent subsequent strabismus surgery. No patients were documented to have midface hypoplasia requiring orthognathic surgery. One patient with an associated diagnosis of autism was noted to have significant developmental delay. CONCLUSIONS:Isolated nonsyndromic bicoronal synostosis confers a high rate of revisions for contour deformities but is associated with a low risk of complications. Overall, nonsyndromic patients require less secondary fronto-orbital advancement when compared with syndromic patients. In contrast to the syndromic population, there were no instances of midface hypoplasia necessitating surgery. There did not appear to be significant correlation between bicoronal synostosis and developmental abnormalities or delays.
journal_name
Plast Reconstr Surgjournal_title
Plastic and reconstructive surgeryauthors
Bastidas N,Mackay DDJ,Taylor JA,Bartlett SPdoi
10.1097/PRS.0b013e318262f2fdsubject
Has Abstractpub_date
2012-10-01 00:00:00pages
877-883issue
4eissn
0032-1052issn
1529-4242pii
00006534-201210000-00027journal_volume
130pub_type
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/PRS.0b013e31821b62d6
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/PRS.0000000000006546
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/01.PRS.0000020991.10201.6C
更新日期:2002-09-15 00:00:00
abstract::Breast reconstruction after a radical mastectomy using the temporary subcutaneous tissue expander is described. The main principle of this method is recovery of the amount of lost tissue through expansion of the remaining chest skin to large proportions and filling of the breast envelope with a smaller permanent mamma...
journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-198202000-00001
更新日期:1982-02-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章,评审
doi:10.1097/PRS.0b013e318206328d
更新日期:2011-03-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/00006534-198812000-00006
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/00006534-199305000-00012
更新日期:1993-05-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章,meta分析
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更新日期:2019-08-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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更新日期:1998-04-01 00:00:00
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doi:10.1097/00006534-199609000-00013
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/PRS.0b013e3181d70317
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/00006534-197609000-00010
更新日期:1976-09-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/PRS.0b013e3181aa0e5d
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doi:10.1097/00006534-199912000-00018
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更新日期:2019-05-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2011-07-01 00:00:00
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更新日期:2006-08-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章,评审
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更新日期:2016-09-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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更新日期:2002-06-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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doi:
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