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Birmingham Craniofacial Score: a scoring system for craniofacial deformities
S Sgouros1, J H Goldin, A D Hockley
1Department of Craniofacial Surgery, Queen Elizabeth and Children's Hospitals, Birmingham, United Kingdom.
The Journal of Craniofacial Surgery
|September 1, 1996
Summary
A new scoring system quantifies craniofacial deformities and surgical outcomes in patients. This user-friendly method consistently reflects treatment results, enabling statistical analysis of deformity severity.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Medical Imaging
Background:
- Craniofacial deformities present significant challenges in quantification.
- Objective measurement of deformity severity and surgical outcomes is crucial for patient care.
- Existing scoring systems may lack user-friendliness or comprehensive scope.
Purpose of the Study:
- To develop a simple, user-friendly system for scoring facial and head appearance in craniofacial patients.
- To quantify the severity of craniofacial deformities.
- To measure the effectiveness of corrective surgical operations.
Main Methods:
- A scoring system was devised, focusing on 15 distinct facial and head features.
- One point is awarded for each normal feature; zero points for abnormal features.
- The total score ranges from 0 to 15, with higher scores indicating better outcomes.
Main Results:
- The scoring system consistently reflects the results of surgical operations.
- The system allows for quantitative comparisons and statistical analysis of deformity.
- A strong correlation was observed between the total score and the degree of deformity.
Conclusions:
- The developed scoring system provides a reliable method for assessing craniofacial deformity severity.
- Scores of 13+ indicate near-normal appearance, 9-12 suggest definite deformity, and 8 or below indicate severe deformity.
- Despite limitations, the system offers a practical tool for evaluating surgical outcomes in craniofacial patients.