{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:37:20Z","timestamp":1789177040272,"version":"build-2803163510"},"reference-count":45,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"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":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe early development in children with nonsyndromic craniosynostosis (CS) compared to norms, longitudinally, and by surgery age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective longitudinal cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients with CS who had open approach single-stage surgery with the same craniofacial surgeon and neurosurgeon 2009-2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>Bayley Scales of Infant and Toddler Development\u2014Third Edition (Bayley-III) at Time 1 (preoperative), Time 2 (6-months postoperative), Time 3 (18-months postoperative), and Time 4 (age 36 months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants (N\u2009=\u2009268) had sagittal (50%), unicoronal (26%), or metopic (24%) CS and were mostly Latino (49%) males (67%) with public insurance (57%). The mean surgical age was 7.9\u2009\u00b1\u20094.3 months with 91% of surgeries completed by 12 months. Higher scores were associated with female sex, higher socioeconomic status, private insurance, and US-born fathers. All mean Bayley-III scores were in the average range clinically and most scores were similar to test norms. Average rates of participants with a delay (&lt;10th percentile) across time points included: Metopic (27%), sagittal (20%), and unicoronal (15%). Development was generally stable over time. There was no relationship between surgery age and development within the context of only 9% of surgeries completed past 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sociodemographic influences on development can help identify possible protective and risk factors. While mean performance was consistently in the average clinical range, delays were seen in nearly a third of metopic CS, a fifth of sagittal CS, and 15% of unicoronal CS. Ongoing screening can facilitate appropriate developmental supports, most often for language and gross motor skills.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251337268","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T03:46:04Z","timestamp":1745984764000},"page":"1476-1489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Early Longitudinal Development in a Diverse Prospective Cohort with Sagittal, Unicoronal, or Metopic Craniosynostosis"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2029-5873","authenticated-orcid":false,"given":"Alexis L.","family":"Johns","sequence":"first","affiliation":[{"name":"Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA"},{"name":"Division of General Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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