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Endoscopy-Assisted Suturectomy: Can It be the Priority Choice in the Treatment of Metopic Synostosis?
Harun Demirci1, Pelin Kuzucu, Emrah Egemen
1Yildirim Beyazıt University School of Medicine, Department of Neurosurgery, Ankara, Türkiye.
Aim:
To mathematically present the results of endoscopic assisted surgery in the treatment of metopic synostosis.
Material And Methods:
We present a follow-up of the stages of treatment of 43 patients with metopic synostosis who underwent surgery in a multicenter retrospective study between 2018 and 2021. We developed the formula D3/((D1+D2)/2) based on the theory of "The Angle of a Triangle Opposite The Longest Side is the Largest Angle". And we called this method "Metopic Angle Proportion (MAP)". Paired samples T-test was performed for statistical results. A p-value of < 0.05 was considered statistically significant.
Results:
According to the MAP method; measurements for frontal enlargement, mean pretreatment length D1: 34,57 mm, D2: 34,81 mm, D3: 60,46 mm, and the end of treatment as D1: 37,88 mm, D2: 38,19 mm, D3: 71,09 mm. We perfomed the formula D3/ [(D1+D2)/2]. While this rate was 1.74 before treatment, it increased to 1.87 after treatment. As a result of statistical analysis, it was also found to be significant (p≤0.05).
Conclusion:
Endoscopy-assisted suturectomy can be applied in health centres where available, because it is safe, easy and cheaper.
