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Validation of Skully Care as a Fast Method for Quantifying Positional Cranial Deformities.
Léon N A Van Adrichem1, Sophia A J Kronig1, Otto D M Kronig1
1Department of Plastic and Reconstructive Surgery and Hand Surgery, 8124University Medical Center Utrecht, the Netherlands.
Summary
Skully Care (SC), a smartphone application, accurately measures positional skull deformities, correlating strongly with traditional methods. This innovative tool offers a faster, more convenient alternative for clinical use.
Area of Science:
- Craniofacial morphology
- Pediatric diagnostics
- Medical technology innovation
Background:
- Positional skull deformities require accurate measurement for diagnosis and treatment.
- Traditional plagiocephalometry (PCM) is reliable but time-consuming and requires direct contact.
- A need exists for a more efficient and convenient method for craniofacial measurement.
Purpose of the Study:
- To evaluate the validity and reliability of Skully Care (SC), a smartphone application, for measuring positional skull deformities.
- To compare the accuracy and efficiency of SC against traditional plagiocephalometry (PCM).
Main Methods:
- Retrospective comparison of Skully Care (SC) measurements with plagiocephalometry (PCM) in pediatric patients (age ≤1 year) with positional skull deformities.
- Correlation analysis using Pearson correlation coefficient for cranial vault asymmetry index (CVAI) and cranial index (CI).
- Mann-Whitney U test to compare time consumption between SC and PCM.
Main Results:
- High correlation found between SC's CVAI and PCM's oblique diameter difference index (ODDI) in positional plagiocephaly (r=0.849).
- Very high correlation found between SC's CI and PCM's cranial proportional index (CPI) in positional brachycephaly (r=0.938).
- Skully Care (SC) was significantly faster than PCM (P < .001).
Conclusions:
- Skully Care (SC) is a valid method for analyzing positional skull deformities, showing strong correlation with the gold standard PCM.
- SC offers a simple, valid, and fast craniofacial measuring method, enhancing user and child convenience.
- SC presents potential as a modern successor for analyzing positional skull deformities in clinical practice.
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