Issue release date: 13.09.2024
2Gazi University Faculty of Medicine, Division of Pediatric Neurosurgery, Ankara, Türkiye
3Pamukkale University, Faculty of Medicine, Department of Neurosurgery, Denizli, Türkiye
4Gazi University Faculty of Medicine, Department of Anesthesiology and Reanimation, Ankara, Türkiye
5Ankara City Hospital, Children?s Hospital Tower, Department of Pediatrics, Ankara, Türkiye DOI : 10.5137/1019-5149.JTN.44627-23.2 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.
Keywords : Endoscopic assisted surgery, Craniosynostosis, Metopic synostosis