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The Craniofacial Collaboration UK: Developmental Outcomes in 7- and 10-Year-Old Children With Metopic Synostosis
Laura Edwards-Bailey1, Katie Piggott1, Louise Dalton2
1Craniofacial Unit, Alder Hey Children's NHS Foundation Trust, Liverpool.
Insights
The Craniofacial Collaboration (CC-UK) found most children with metopic synostosis (MS) have average cognitive and behavioral skills. However, some subtle difficulties, especially in parent-reported outcomes, warrant further investigation.
Area of Science:
- Pediatric Psychology
- Craniofacial Surgery
- Neurodevelopmental Disorders
Background:
- The Craniofacial Collaboration (CC-UK) addresses limitations in craniofacial literature by analyzing homogenous samples of children with craniosynostosis.
- Previous CC-UK studies examined children with metopic synostosis (MS) and sagittal synostosis at 3 and 5 years.
- This study extends analysis to older age groups (7 and 10 years) with MS.
Purpose of the Study:
- To present the fifth wave of CC-UK data collection focusing on cognitive assessments in children with MS.
- To analyze cognitive assessment data using the Wechsler Abbreviated Scale of Intelligence-Second Edition for children with MS.
- To compare findings with previous CC-UK analyses and consider implications for clinical practice and future research.
Main Methods:
- Data collection from 7- and 10-year-old children who underwent primary corrective surgery for metopic synostosis (MS).
- Cognitive assessment using the Wechsler Abbreviated Scale of Intelligence-Second Edition.
- Analysis of behavioral and neurodevelopmental domains, including parent-reported outcomes.
Main Results:
- The majority of children with MS fall within average ranges for behavioral and neurodevelopmental domains.
- A trend of heightened concern was observed in several domains compared to normative data, particularly in parent-reported outcomes.
- Subtle difficulties may be present for children with MS, indicated by specific outcome measures.
Conclusions:
- While most children with MS demonstrate average cognitive functioning, subtle challenges may exist.
- Longitudinal analyses and multi-perspective data (school, parents, self) are needed for older children.
- Findings inform clinical practice and highlight the need for continued collaborative research in craniofacial anomalies.
Abstract:
The Craniofacial Collaboration (CC-UK) is a shared initiative across the Psychology teams attached to 4 highly specialized craniofacial centers in the United Kingdom. The CC-UK aims to address key limitations in the existing craniofacial literature by analyzing data for homogenous samples of children with craniosynostosis. This article presents the fifth wave of CC-UK data collection, focused on 7- and 10-year olds who have undergone primary corrective surgery for metopic synostosis (MS). Data for children with sagittal synostosis and MS have previously been presented at 3 and 5 years. This paper continues to build on this with consideration to older age groups, presenting the first CC-UK analysis of cognitive assessment data using the Wechsler Abbreviated Scale of Intelligence-Second Edition. Results show that the majority of children with MS fall within the average ranges across behavioral and neurodevelopmental domains. However, several domains indicated a trend of heightened concern when compared with normative data, particularly for parent-reported outcomes, suggesting that there may be some subtle difficulties for children with MS. Consideration of how these findings compare with that of previous CC-UK analyses is explored. Further, implications for clinical practice and future research are considered, with the need for longitudinal analyses, as well as data from multiple perspectives (eg, school, parents, and self) at older age points to establish patterns over time. Through collaboration across the highly specialized craniofacial centers, the CC-UK hopes to work toward this goal moving forward.
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