Abstract：
The aim of this study was to compare a traditional fronto-orbital remodeling and advancement (FORA) with the dynamic cranioplasty for trigonocephaly (DCT). The authors analyzed patients who underwent surgery for trigonocephaly. Perioperative data were compared. Parents were asked to use a visual analog scale to evaluate the pre- and postoperative distance between the eyes, the forehead shape, and the global appearance of the face. A panel of observers was asked to grade pre- and postoperative photographs using a similar visual analog scale. Pre- and postoperative anthropometric data were collected and analyzed in a subset of the study population aged 9 years or older. The total sample size was 51 patients (DCT n = 39; FORA n = 12). Durations of surgery and anesthesia were shorter in the DCT group (115 vs 194 min, p = 0.001; 226 vs 289 min, p = 0.001). Patients in the DCT group received similar preoperative ratings to those in the FORA group, but significantly higher postoperative ratings by parents for all three questions. There were no significant differences in postoperative ratings by the panel or postoperative anthropometric data. DCT is safe and effective. It is preferred over FORA because it is associated with shorter durations of surgery and anesthesia, while providing higher degrees of parental satisfaction and similar aesthetic and anthropometric outcomes.
摘要：
这项研究的目的是比较传统的前眶重塑和前移（FORA）与动态颅骨成形术（DCT）。作者分析了接受三角头颅手术的患者。比较围手术期数据。父母被要求使用视觉模拟量表来评估眼睛之间的术前和术后距离，前额的形状，以及脸部的全球外观。一组观察者被要求使用类似的视觉模拟量表对术前和术后照片进行评分。在9岁或以上的研究人群的一部分中收集和分析了术前和术后人体测量数据。总样本量为51例患者(DCTn=39；FORAn=12)。DCT组的手术和麻醉持续时间较短（115vs194分钟，p=0.001；226对289分钟，p=0.001)。DCT组患者的术前评分与FORA组相似，但父母对所有三个问题的术后评分明显更高。小组或术后人体测量数据的术后评分没有显着差异。DCT是安全有效的。它比FORA更受欢迎，因为它与较短的手术和麻醉持续时间有关，同时提供更高的父母满意度和相似的美学和人体测量结果。
