{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:40:01Z","timestamp":1792597201138,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Anterior craniofacial changes in unilateral lambdoid craniosynostosis include forehead bossing, increased orbital heights, and asymmetry of the midface and mandible, creating a facial twist. The purpose of this study is to comprehensively analyze the post-operative anterior craniofacial changes in patients with unilateral lambdoid craniosynostosis following occipital switch cranioplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective review of three-dimensional images collected pre-operatively and post-operatively around 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary care pediatric institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Eighteen patients with unilateral lambdoid craniosynostosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Cranial vault remodeling with occipital switch cranioplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Frontal, occipital, height, midface, ear, and orbital asymmetry. Nasal and chin deviation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Frontal and occipital asymmetry significantly improved post-operatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.03;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01). Cranial height asymmetry and midface projection asymmetry did not significantly improve (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.24;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.59). The nasal deviation was, on average, 3.58\u2009\u00b1\u20091.69\u00b0 prior to surgery and significantly improved with a residual deviation of 2.18\u2009\u00b1\u20091.35\u00b0 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.01). The chin deviation significantly improved post-operatively from an average of 2.21\u2009\u00b1\u20091.52\u00b0 to a residual deviation of 1.07\u2009\u00b1\u20091.12\u00b0 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.04). Ear asymmetry, orbital width, and orbital height asymmetry did not significantly change with surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Two years after occipital switch cranioplasty, patients with unilateral lambdoid craniosynostosis had significant improvements in frontal asymmetry, nasal deviation, and chin deviation. However, nasal and chin deviation remained residually asymmetric. Midface projection contralateral deficiency did not significantly change post-operatively over the study period. The release of the affected suture with occipital switch cranioplasty allowed for remodeling and growth to improve anterior craniofacial symmetry.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251326351","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T11:32:11Z","timestamp":1742211131000},"page":"1151-1157","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Anterior Craniofacial Changes Following Occipital Switch Cranioplasty in Unilateral Lambdoid Craniosynostosis"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3168-1879","authenticated-orcid":false,"given":"Lucas M.","family":"Harrison","sequence":"first","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1267-9124","authenticated-orcid":false,"given":"Kayla","family":"Prezelski","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9025-399X","authenticated-orcid":false,"given":"Rami R.","family":"Hallac","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"},{"name":"Analytical Imaging and Modeling Center, Children's Health Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario S.","family":"Blondin","sequence":"additional","affiliation":[{"name":"Wake Forest University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa R.","family":"David","sequence":"additional","affiliation":[{"name":"Wake Forest University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Runyan","sequence":"additional","affiliation":[{"name":"Wake Forest University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex A.","family":"Kane","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000278043.28952.e8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199610000-00001"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010228"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31819346b5"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002098"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181f95cd8"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318270fb4e"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199805000-00011"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181d6e442"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-023-06227-1"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12603"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1597\/04-174.1"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007098"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231176876"},{"issue":"5","key":"e_1_3_3_16_2","article-title":"Frontofacial features of unilateral lambdoid craniosynostosis: a multicenter assessment","volume":"11","author":"Lee J","year":"2023","unstructured":"Lee J, Naran S, Mazzaferro D, et al. 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