{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:11:13Z","timestamp":1784041873190,"version":"3.55.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004375","name":"Tel Aviv University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Infants with sagittal synostosis (SS) are operated upon mainly for cosmetic reasons. The patient's perception related to head shape and to scar, are mostly subjective. We therefore investigated the long term subjective results of relatively homogeneous group of children who were operated on with an early, open, and wide strip craniectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Single-center, retrospective study with a follow-up of 2 to 25 years. The study cohort included 488 children who underwent early, open, wide, strip craniectomy for SS at the age of 2\u20134 months and answered the telephone questionnaire. We interviewed the parents, assessing their perception, adding upon the children's related feelings. The questionnaire included both quantitative ratings and qualitative responses \"pearls\", and assessed aesthetic outcomes, including skull shape, scar-related concerns, and overall satisfaction. The cohort was stratified into three age groups (3\u20136, 6\u201312, and\u2009\u2265\u200912 years), and a comparative analysis between males and females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>488 patients responded to the questionnaire. There is an overall very high satisfaction with the surgery's aesthetic results. Except for one patient (1\/488), all responders stated that they would undergo the surgery again. Detailed questions about head shape and the influence of the scar, show mostly minor comments that seem to improve when we compare those between 6 and 12, and those above 12 years of age. Scar-related concerns were generally mild in nature (such as local sensitivity, pruritus, or difficulty with haircuts) and did not translate into overall dissatisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study confirms that the long-term subjective, aesthetic results of early, wide, open and strip craniectomy of both parents and children are excellent. Despite the presence of minor aesthetic concerns, including scar-related findings, overall satisfaction remains consistently high.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00381-026-07389-4","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T14:57:12Z","timestamp":1784041032000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term subjective patient's satisfaction and aesthetic outcomes in sagittal synostosis: a study of 488 patients operated by early, wide, open strip craniectomy"],"prefix":"10.1007","volume":"42","author":[{"given":"Sapir","family":"Sadon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"May","family":"Brami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Roth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Leshem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomi","family":"Constantini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"7389_CR1","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.pediatrneurol.2015.07.006","volume":"53","author":"LS Governale","year":"2015","unstructured":"Governale LS (2015) Craniosynostosis. 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Pediatrics. https:\/\/doi.org\/10.1542\/peds.2020-015511","journal-title":"Pediatrics"},{"key":"7389_CR4","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1007\/s00381-026-07292-y","volume":"42","author":"M Brami","year":"2026","unstructured":"Brami M, Sadon S, Roth J, Soleman J, Leshem D, Constantini S (2026) Neuro-developmental outcome in sagittal synostosis; analysis of 488 children in the context of the existing literature. Childs Nerv Syst 42:196","journal-title":"Childs Nerv Syst"},{"key":"7389_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/ons\/opy047","volume":"16","author":"N Salokorpi","year":"2019","unstructured":"Salokorpi N, Savolainen T, Sinikumpu J-J, Ylikontiola L, S\u00e1ndor GK, Pirttiniemi P, Serlo W (2019) Outcomes of 40 nonsyndromic sagittal craniosynostosis patients as adults: a case-control study with 26 years of postoperative follow-up. Operative Neurosurgery (Hagerstown, Md) 16:1\u20138","journal-title":"Operative Neurosurgery (Hagerstown, Md)"},{"key":"7389_CR6","doi-asserted-by":"publisher","first-page":"781","DOI":"10.1007\/s00381-021-05434-y","volume":"38","author":"A Svalina","year":"2022","unstructured":"Svalina A, Vuollo V, Serlo W, Sinikumpu J-J, Silvola A-S, Salokorpi N (2022) Craniofacial characteristics and cosmetic satisfaction of patients with sagittal and metopic synostosis: a case\u2013control study using 3D photogrammetric imaging. Childs Nerv Syst 38:781\u2013788","journal-title":"Childs Nerv Syst"},{"key":"7389_CR7","first-page":"1","volume":"1","author":"S Sadon","year":"2025","unstructured":"Sadon S, Brami M, Roth J, Zipori AB, Ekstein M, Leshem D, Constantini S (2025) The incidence of subsequent high intracranial pressure in patients undergoing early, open, and wide strip craniectomy for sagittal synostosis. 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