A new technique for correction of triginocephaly
Ivo Gwanmesia MD, Rafael Couto MD, Gaby Doumit MD, Frank Papay MD
The Cleveland Clinic
Presenter: Ivo Gwanmesia
All the work for the project was done by the fellow
Director Name: Dr Frank Papay MD
Author Category: Fellow Plastic Surgery
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
A NEW TECHNIQUE FOR CORRECTION OF TRIGONOCEPHALY
INTRODUCTION: Premature fusion of the metopic suture results in a keel shaped deformity of the forehead. Several techniques have been described. We describe a modification of the two level bi-frontal craniotomy with a supraorbital bandeau technique.
AIMS AND OBJECTIVES: The aim of this paper was to describe this new technique, as well as to determine whether this new technique compared favorably with other available techniques. Secondary objectives were to determine length of operation time, need for blood transfusion, length of hospital stay, complication and reoperation rates.
METHOD: A retrospective review of all patients who underwent correction of trigonocephaly between 2009 and 2014 using the new method was performed. Demographic data included age at surgery sex, length of hospital stay, need for a blood transfusion and complication rates were collected. Aesthetic outcomes were performed using the expanded Whittaker scoring system by 3 senior surgeons. A parental satisfaction survey was also performed.
RESULTS: Thirteen patients met inclusion criteria. Mean age was 14 months (age range 8 to 26 months). Mean length of hospital stay was 3.5 days (range 3 to 5 days). Most parents score their child's new forehead as most favorable. We are currently performing the expanded Whittaker score.
CONCLUSION: Early results from our study suggest favorable aesthetic outcomes in our small cohort of patients.
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