{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T21:53:53Z","timestamp":1776462833933,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,5,24]],"date-time":"2017-05-24T00:00:00Z","timestamp":1495584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Congenital Anomalies"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There are many surgical techniques for craniosynostosis. However, the indications for and timing of surgery still remain unclarified. Most of the skull growth in craniosynostosis is completed in the first year, and the bone is strong enough to undergo distraction osteogenesis. However, previous reports showed that patients operated on before 1\u00a0year of age had better IQ than those operated later in life. This report aims to consider the best timing for cranial expansion and surgical strategy for Apert syndrome. From January 2002 to December 2011, 13 patients with Apert syndrome were operated on and were followed up for more than 5 years. Nine patients underwent operations before 1\u00a0year of age (early surgery group) and three patients underwent operations later in life (late surgery group). They underwent fronto\u2010orbital advancement for primary surgery. We evaluated postoperative developmental quotient every year and cephalic index (CI) measured by three\u2010dimensional computerized tomography (3D\u2013CT) at the age over 5\u00a0years retrospectively. Eleven of 13 patients improved their developmental quotient scores, with no significant intergroup differences. The CI evaluation showed cases with remnant brachycephalic deformity in both groups. Two patients with remnant plagiocephalic deformities tend to have primary surgery early in life compared to the others. Thus the delay in primary surgery had little influence on psychological development. We conclude that the primary surgery can be delayed unless the intracranial pressure needs to be controlled. In addition, fronto\u2010orbital advancement could not sufficiently improve the brachycephalic appearance, other procedures like posterior vault distraction might be better alternatives.<\/jats:p>","DOI":"10.1111\/cga.12222","type":"journal-article","created":{"date-parts":[[2017,3,24]],"date-time":"2017-03-24T16:25:45Z","timestamp":1490372745000},"page":"104-108","source":"Crossref","is-referenced-by-count":3,"title":["Surgical strategy for Apert syndrome: Retrospective study of developmental quotient and three\u2010dimensional computerized tomography"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5252-0513","authenticated-orcid":false,"given":"Shoichi","family":"Tomita","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Miyawaki","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichirou","family":"Nonaka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Sakai","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reiji","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318240ff49"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-012-1802-0"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-008-0691-8"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31828bd541"},{"key":"e_1_2_10_6_1","first-page":"1","article-title":"Cephalic index of normal children in Japan","volume":"24","author":"Koizumi T","year":"2008","journal-title":"J Japan Society of Cranio\u2010Maxillo\u2010Facial Surgery"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200407000-00015"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.ra.2014-0401"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31818458f0"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199289010-00001"},{"key":"e_1_2_10_11_1","first-page":"702","article-title":"Indication for and surgical outcomes of the distraction method in various types of craniosynostosis. Advantages, disadvantages, and current concepts for surgical strategy in the treatment of craniosynostosis","volume":"20","author":"Nonaka Y","year":"2004","journal-title":"Childs Nerv Syst"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1996.85.1.0066"},{"key":"e_1_2_10_13_1","first-page":"45","article-title":"The jugular foramen in complex and syndromic craniosynostosis and its relationship to raised intracranial pressure","volume":"24","author":"Rich PM","year":"2003","journal-title":"Am J Neuroradiol"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-004-1112-2"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.91.4.0617"},{"key":"e_1_2_10_16_1","volume-title":"The Kyoto Scale of Psychological Development Test 2001","author":"Society for the Kyoto Scale of Psychological Development Test","year":"2008"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.2005.01442.x"}],"container-title":["Congenital Anomalies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcga.12222","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cga.12222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T13:30:30Z","timestamp":1696339830000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cga.12222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,24]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1111\/cga.12222"],"URL":"https:\/\/doi.org\/10.1111\/cga.12222","archive":["Portico"],"relation":{},"ISSN":["0914-3505","1741-4520"],"issn-type":[{"value":"0914-3505","type":"print"},{"value":"1741-4520","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,24]]}}}