Location of the euryon in scaphocephalic vs. non-scaphocephalic controls: A novel assessment of cranial vault remodeling outcomes.

J Craniomaxillofac Surg

SUNY Upstate Medical University, Department of Otolaryngology and Communication Sciences, 750 E Adams St., Syracuse, NY, 13210, USA.

Published: April 2018

AI Article Synopsis

  • A new method for measuring skull shape in patients with scaphocephaly was introduced to enhance the understanding of how surgery restores normal head shape.
  • A comparison revealed that the placement of a specific skull point, the euryon, differs significantly between scaphocephalic patients and healthy controls before surgery.
  • Post-surgery, the differences in euryon placement decreased, suggesting successful restoration of skull shape, but more research is needed to explore additional measurement points for better assessment of surgical outcomes.

Article Abstract

We describe a novel measurement of cranial morphology in pre- and post-operative scaphocephalic patients to complement the cephalic index. This will better describe restoration of normal skull and head shape, further defining the nuances of the corrected skull. In this retrospective comparative study the location of the euryon on the skull was statistically significantly different in preoperative scaphocephalic patients versus non-scaphocephalic controls. This difference was resolved with surgical cranial vault remodeling, indicating restoration of a normal skull profile. Additional measurements of the location of the euryon in relation to the forehead prominence, combined with validated cephalic index measurements, can further describe postoperative outcomes in scaphocephaly. More sensitive clinical measurements such as these can aid the craniofacial surgeon in assessing outcomes in cranial vault remodeling. Further, large-scale study is needed to determine if additional anterior skull metric points may be useful in documenting skull shape restoration.

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http://dx.doi.org/10.1016/j.jcms.2017.12.025DOI Listing

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