Value and reliability of anthropometric measurements of cranial deformity in early childhood

Wilbrand, Jan-Falco; Wilbrand, Martina; Pons-Kuehnemann, Joern; Blecher, Joerg-Christoph; Christophis, P.; Howaldt, Hans‐Peter; Schaaf, Helmut

doi:10.1016/j.jcms.2010.03.010

Cited by 81 publications

(68 citation statements)

References 32 publications

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“…It is quick and easy perform, and avoids any exposure to radiation or sedation as recently described by others (McKay et al, 2010;Schaaf et al, 2010;Wilbrand et al, 2011). Besides the accurate quantification of standard anthropometric parameters, the applicability of 3D photogrammetry for measuring cranial vault volume has been recently demonstrated, especially in comparison to CT scans as the gold standard (McKay et al, 2010).…”

Section: Discussionmentioning

confidence: 94%

Metopic synostosis: Measuring intracranial volume change following fronto-orbital advancement using three-dimensional photogrammetry

Freudlsperger

Steinmacher

Bächli

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 94%

Metopic synostosis: Measuring intracranial volume change following fronto-orbital advancement using three-dimensional photogrammetry

Freudlsperger

Steinmacher

Bächli

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…All children had been grouped by standard anthropometric calliper measurements (Wilbrand et al, 2010) into one of the three groups plagiocephaly, brachycephaly or a combination of both . 230 (56.1%) infants were diagnosed to be plagiocephalic, 32 (7.8%) were brachycephalic and 148 (36.1%) presented with a combination of plagiocephaly and brachycephaly.…”

Section: Resultsmentioning

confidence: 99%

Complications in helmet therapy

Wilbrand

Malik

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…Anthropometric indices have been successfully applied to assessing cranial deformity in Down syndrome, positional plagiocephaly, and brachycephaly. 6,21,22 Indeed, previous studies have demonstrated that anthropometric indices can be successfully used in the assessment of metopic synostosis. Kolar and Salter 10 assessed 24 anthropometric measurements in patients with trigonocephaly and calculated 11 cranial indices.…”

Section: Discussionmentioning

confidence: 99%

“…8 The use of anthropometric cranial measurements has improved the precision and reliability of the assessment of other cranial deformities such as positional plagiocephaly, scaphocephaly, and brachycephaly. 21,22 The objective of this study was to describe the metopic index (MI), a simple anthropometric cranial measurement that can be obtained both from CT scans and from palpable cranial landmarks, as a rapid tool for evaluating patients with metopic synostosis in both pre-and postoperative settings.…”

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confidence: 99%

The metopic index: an anthropometric index for the quantitative assessment of trigonocephaly from metopic synostosis

Wang¹,

Dorafshar

Liu³

et al. 2016

PED

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OBJECTIVE Because the metopic suture normally fuses during infancy, there are varying degrees of severity in head shape abnormalities associated with premature fusion. A method for the objective and reproducible assessment of metopic synostosis is needed to guide management, as current methods are limited by their reliance on aesthetic markers. The object of this study was to describe the metopic index (MI), a simple anthropometric cranial measurement. The measurements can be obtained from CT scans and, more importantly, from palpable cranial landmarks, and the index provides a rapid tool for evaluating patients in both pre- and postoperative settings. METHODS High-resolution head CT scans obtained in 69 patients (age range 0–24 months) diagnosed with metopic craniosynostosis were retrospectively reviewed. Preoperative 3D reconstructions were available in 15 cases, and these were compared with 3D reconstructions of 324 CT scans obtained in a control group of 316 infants (age range 0–24 months) who did not have any condition that might affect head size or shape and also in a subset of this group, comprising 112 patients precisely matched to the craniosynostosis patients with respect to age and sex. Postoperative scans were available and reviewed in 9 of the craniosynostosis patients at a mean time of 7.1 months after surgical repair. 3D reconstructions of these scans were matched with controls based upon age and sex. RESULTS The mean preoperative MI for patients with trigonocephaly was 0.48 (SD 0.05), significantly lower than the mean values of 0.57 (SD 0.04) calculated on the basis of all 324 scans obtained in controls (p < 0.001) and 0.58 (SD 0.04) for the subset of 112 age- and sex-matched controls (p < 0.001). For 7 patients with both pre- and postoperative CT scans available for evaluation, the mean postoperative MI was 0.55 (SD 0.03), significantly greater than their preoperative MIs (mean 0.48 [SD 0.04], p = 0.001) and comparable to the mean MI of the controls (p = 0.30). In 4 patients, clinically obtained postoperative MIs by caliper measurement were comparable to measurements derived from CT (p = 0.141). CONCLUSIONS The MI is a useful measurement of the severity of trigonocephaly in patients with metopic synostosis. This simple quantitative assessment can potentially be used in the clinical setting to guide preoperative evaluation, surgical repair, and postoperative degree of correction.

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Value and reliability of anthropometric measurements of cranial deformity in early childhood

Cited by 81 publications

References 32 publications

Metopic synostosis: Measuring intracranial volume change following fronto-orbital advancement using three-dimensional photogrammetry

Metopic synostosis: Measuring intracranial volume change following fronto-orbital advancement using three-dimensional photogrammetry

Complications in helmet therapy

The metopic index: an anthropometric index for the quantitative assessment of trigonocephaly from metopic synostosis

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