Top

Child's Nervous System

Published in:

Open Access 21-07-2023 | Craniosynostosis | Review

Cosmetic satisfaction and patient-reported outcomes following surgical treatment of single-suture craniosynostosis: a systematic review

Authors: Vita M. Klieverik, Ash Singhal, Peter A. Woerdeman

Published in: Child's Nervous System | Issue 12/2023

Abstract

Purpose

This study provides a systematic review on cosmetic satisfaction and other patient-reported outcomes (PROMs) of patients who underwent surgical treatment of SSC.

Methods

A systematic review of all articles published from inception to 1 June 2022 was performed. Articles were included if they reported on subjective assessment of cosmetic satisfaction or other PROMs by patients or their families using questionnaires or interviews.

Results

Twelve articles, describing 724 surgical treatments of SSC, met the inclusion criteria. Cosmetic satisfaction was evaluated in the following ways: 1) use of the VAS score, binary questions or a 5-point scale to rate general, facial or skull appearance; 2) use of an aesthetic outcome staging in which personal opinion was added to the treating surgeon’s opinion; and 3) use of an evaluation of anatomical proportions of the skull and face. A trend towards an overall improvement in cosmetic satisfaction following surgical treatment of SSC was observed. Reported PROMs included general health, socioeconomic status, patients’ and their families’ rating of the normalcy and noticeability of their appearance and how much this bothered them, and patients’ answers to the Youth Quality of Life with Facial Differences (YQOL-FD) questionnaire. No clear overall trend of the reported PROMs was identified.

Conclusion

This systematic review illuminates that there is a wide variation in outcomes for evaluating cosmetic satisfaction and other PROMs of patients who underwent surgical treatment of SSC, suggesting that further research is needed to develop an inclusive and uniform approach to assess these outcomes.

Grova M, Lo DD, Montoro D, Hyun JS, Chung MT, Wan DC et al (2012) Models of cranial suture biology. J Craniofac Surg 23(7 Suppl 1):1954–1958. https://doi.org/10.1097/SCS.0b013e318258ba53CrossRefPubMedPubMedCentral

Levi B, Wan DC, Wong VW, Nelson E, Hyun J, Longaker MT (2012) Cranial suture biology: From pathways to patient care. J Craniofac Surg 23(1):13–19. https://doi.org/10.1097/SCS.0b013e318240c6c0CrossRefPubMed

Tubbs RS, Bosmia AN, Cohen-Gadol AA (2012) The human calvaria: A review of embryology, anatomy, pathology, and molecular development. Childs Nerv Syst 28(1):23–31. https://doi.org/10.1007/s00381-011-1637-0CrossRefPubMed

Governale LS (2015) Craniosynostosis. Pediatr Neurol 53(5):394–401. https://doi.org/10.1016/j.pediatrneurol.2015.07.006CrossRefPubMed

Proctor MR, Meara JG (2019) A review of the management of single-suture craniosynostosis, past, present, and future. J Neurosurg Pediatr 24(6):622–631. https://doi.org/10.3171/2019.7.PEDS18585CrossRefPubMed

Bellew M, Chumas P (2015) Long-term developmental follow-up in children with nonsyndromic craniosynostosis. J Neurosurg Pediatr 16(4):445–451. https://doi.org/10.3171/2015.3.PEDS14567CrossRefPubMed

Salokorpi N, Savolainen T, Sinikumpu JJ, Ylikontiola L, Sándor GK, Pirttiniemi P et al (2019) Outcomes of 40 nonsyndromic sagittal craniosynostosis patients as adults: A case-control study with 26 years of postoperative follow-up. Oper Neurosurg (Hagerstown) 16(1):1–8. https://doi.org/10.1093/ons/opy047CrossRefPubMed

Lepard J, Akbari SHA, Mooney J, Arynchyna A, McClugage Ilii SG, Myers RP et al (2021) Comparison of aesthetic outcomes between open and endoscopically treated sagittal craniosynostosis. J Neurosurg Pediatr 28(4):432–438. https://doi.org/10.3171/2021.3.PEDS20894CrossRefPubMed

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 372n71. https://doi.org/10.1136/bmj.n71

10.

Cooper C, Booth A, Varley-Campbell J, Britten N, Garside R (2018) Defining the process to literature searching in systematic reviews: A literature review of guidance and supporting studies. BMC Med Res Methodol 18(1):85. https://doi.org/10.1186/s12874-018-0545-3CrossRefPubMedPubMedCentral

11.

Hankinson TC, Fontana EJ, Anderson RCE, Feldstein NA (2010) Surgical treatment of single-suture craniosynostosis: An argument for quantitative methods to evaluate cosmetic outcomes. J Neurosurg Pediatr 6(2):193–197. https://doi.org/10.3171/2010.5.PEDS09313CrossRefPubMed

12.

Baş NS, Baş S (2021) Craniometric measurements and surgical outcomes in trigonocephaly patients who underwent surgical treatment. Cureus. 13(3):e13676. https://doi.org/10.7759/cureus.13676CrossRefPubMedPubMedCentral

13.

Dalton LJ, Kiani S, Judge A, Wall S, Johnson D (2022) Parent and patient reported outcomes for head shape in children undergoing surgery for single suture synostosis. J Craniofac Surg 33(1):19–25. https://doi.org/10.1097/SCS.0000000000008117CrossRefPubMed

14.

Gabrick KS, Wu RT, Singh A, Bartlett SP, Taylor JA, Persing JA et al (2020) Assessing facial asymmetry in postoperative patients with unilateral coronal craniosynostosis. J Craniofac Surg 31(4):1000–1005. https://doi.org/10.1097/SCS.0000000000006355CrossRefPubMed

15.

Guimarães-Ferreira J, Gewalli F, David L, Olsson R, Friede H, Lauritzen CG (2001) Clinical outcome of the modified pi-plasty procedure for sagittal synostosis. J Craniofac Surg 12(3):218–224. https://doi.org/10.1097/00001665-200105000-00003CrossRefPubMed

16.

Joly A, Paré A, Sallot A, Arsène S, Listrat A, Travers N et al (2016) Long-term assessment of suturectomy in trigonocephaly and anterior plagiocephaly. J Craniofac Surg 27(3):627–630. https://doi.org/10.1097/SCS.0000000000002585CrossRefPubMed

17.

Kampf S, Micko A, Schwartz E, Schopper C, Reinprecht A (2020) Clinical and aesthetic outcome analysis of a case series of trigonocephaly patients after early fronto-orbital advancement. Int J Oral Maxillofac Surg 49(9):1115–1121. https://doi.org/10.1016/j.ijom.2020.02.017CrossRefPubMed

18.

Kelleher MO, Murray DJ, McGillivary A, Kamel MH, Allcutt D, Earley MJ (2007) Non-syndromic trigonocephaly: Surgical decision making and long-term cosmetic results. Childs Nerv Syst 23(11):1285–1289. https://doi.org/10.1007/s00381-007-0386-6CrossRefPubMed

19.

Millesi M, Preischer M, Reinprecht A (2021) Do standard surgical techniques lead to satisfying aesthetic results in nonsyndromic sagittal suture synostosis? J Neurosurg Pediatr 28(5):502–507. https://doi.org/10.3171/2021.4.PEDS2166CrossRefPubMed

20.

Mutchnick IS, Maugans TA (2012) Nonendoscopic, minimally invasive calvarial vault remodeling without postoperative helmeting for sagittal synostosis. J Neurosurg Pediatr 9(3):222–227. https://doi.org/10.3171/2011.12.PEDS11306CrossRefPubMed

21.

Svalina A, Vuollo V, Serlo W, Sinikumpu JJ, Silvola AS, Salokorpi N (2022) Craniofacial characteristics and cosmetic satisfaction of patients with sagittal and metopic synostosis: A case-control study using 3D photogrammetric imaging. Childs Nerv Syst 38(4):781–788. https://doi.org/10.1007/s00381-021-05434-yCrossRefPubMed

22.

Windh P, Davis C, Sanger C, Sahlin P, Lauritzen C (2008) Spring-assisted cranioplasty vs pi-plasty for sagittal synostosis – A long term follow-up study. J Craniofac Surg 19(1):59–64. https://doi.org/10.1097/scs.0b013e31815c94c8CrossRefPubMed

23.

Anand A, Campion NJ, Cheshire J, Haigh T, Leckenby J, Nishikawa H et al (2013) Analysis of cosmetic results of metopic synostosis: Concordance and interobserver variability. J Craniofac Surg 24(1):304–308. https://doi.org/10.1007/s00421-008-0955-8CrossRefPubMed

24.

McCarthy JG, Warren SM, Bernstein J, Burnett W, Cunningham ML, Edmond JC et al (2012) Parameters of care for craniosynostosis. Cleft Palate Craniofac J 49(Suppl):1S-24S. https://doi.org/10.1597/11-138CrossRefPubMed

25.

Rumsey N, Harcourt D (2005) The psychology of appearance. UK: McGraw Hill Education

Title: Cosmetic satisfaction and patient-reported outcomes following surgical treatment of single-suture craniosynostosis: a systematic review
Authors: Vita M. Klieverik
Ash Singhal
Peter A. Woerdeman
Publication date: 21-07-2023
Publisher: Springer Berlin Heidelberg
Keyword: Craniosynostosis
Published in: Child's Nervous System / Issue 12/2023
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-023-06063-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cosmetic satisfaction and patient-reported outcomes following surgical treatment of single-suture craniosynostosis: a systematic review

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 12/2023

Campylobacter fetus seeding of a cavernous malformation resulting in brain abscess: case report and literature review

Linear B Mycenaean Greek and medical nomenclature

Intrinsic epidermoid cyst of the brainstem in children—review and case report

Intravascular fasciitis of the scalp as a complication of ICP monitor placement: a case report and review of the literature

Comparison of endoscopic sinus sampling versus intracranial sampling for microbiological diagnosis of intracranial infection in children: a case series and literature review

Purely endoscopic and endoscope-assisted approaches to lesions of the third ventricle in pediatric age—a technical collection