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Related Experiment Videos

Trigonocephaly: surgical considerations and long term evaluation.

Burt M Greenberg1, Steven J Schneider

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, Einstein Medical Center, and Winthrop University Hospital, North Shore University Hospital-Long Island Jewish Health Care System, Manhasset, New York, USA. BGreenB@aol.com

The Journal of Craniofacial Surgery
|June 14, 2006
PubMed
Summary

Severe trigonocephaly, a craniosynostosis affecting 10% of cases, can be effectively treated with surgical intervention. Modern techniques using resorbable plates and alloplastic augmentation improve outcomes and reduce reoperation rates.

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Neurosurgery
  • Plastic Surgery

Background:

  • Trigonocephaly is a craniosynostosis comprising 10% of cases, characterized by a triangular forehead and orbital abnormalities.
  • Severe cases present with distinct radiographic findings like ovoid orbits and a thickened, keel-shaped frontal bone.

Purpose of the Study:

  • To clinically review long-term growth in 50 infantile cases of severe nonsyndromic trigonocephaly.
  • To assess the efficacy of a standardized operative technique and evaluate outcomes over a mean follow-up of 12 years.

Main Methods:

  • Retrospective clinical review of 50 patients with severe nonsyndromic trigonocephaly treated between 1987 and 2005.
  • Standardized surgical technique with analysis of complication and reoperative rates.

Related Experiment Videos

  • Evaluation of outcomes with specific attention to cosmetic results in patients treated post-1996 using resorbable rigid plate fixation and alloplastic augmentation.

    • Main Results:

    • The average age at surgery was 6 months, with a mean follow-up of 12 years.
    • Overall complication rate was 2%, and the reoperative rate was 12%.
    • Patients treated since 1996 with resorbable rigid plate fixation and alloplastic augmentation demonstrated improved cosmetic outcomes and a reduced reoperative rate.

    Conclusions:

    • A standardized operative technique provides effective treatment for severe nonsyndromic trigonocephaly.
    • The combination of resorbable rigid plate fixation and alloplastic augmentation represents an advancement in surgical management, enhancing cosmetic results and decreasing reoperation necessity.