{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:11:05Z","timestamp":1788667865082,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"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"],"abstract":"\n Objective<\/jats:title>\n Metopic synostosis (MS) is commonly corrected using multi-segment fronto-orbital advancement (FOA), including the frontal bone and supraorbital bandeau. Although this technique reliably expands the anterior vault, it is associated with contour irregularities and bandeau step-offs. The single-segment FOA, utilizing a unified parietal bone flap, was developed with the goal of restoring a seamless frontal contour. This study compares morphologic outcomes between single-segment and multi-segment FOA in MS.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A retrospective review of 3-dimensional imaging of patients with MS who underwent single-segment or multi-segment FOA.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Tertiary pediatric institution.<\/jats:p>\n <\/jats:sec>\n \n Patients, Participants<\/jats:title>\n Twenty patients with MS were included (10 single-segment, 10 multi-segment). Ten control patients were included at each time point for comparison.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n Single-segment or multi-segment FOA<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s)<\/jats:title>\n Pre- and 2-week, 1-year, and 2-year postoperative imaging were analyzed to assess craniometric variables and intracranial volumes. Craniofacial composites were created.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Single-segment FOA demonstrated significantly shorter operative time (\n P<\/jats:italic>\n \u2009=\u20090.003) and reduced blood loss (\n P<\/jats:italic>\n \u2009=\u20090.008). Both groups achieved comparable increases in total (13-15%) and anterior cranial volume (23-28%) postoperatively. Craniometric analysis revealed equivalent improvement in orbital morphology. The interfrontal angle normalized to control levels in the single-segment group but remained significantly different in the multi-segment cohort through 2 years.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Single-segment FOA provides cranial and orbital morphologic correction equivalent to multi-segment FOA while reducing perioperative burden and limiting osteotomies across the frontal contour. This technique offers an efficient and reliable alternative for appropriately selected patients with MS.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656261485387","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:47:49Z","timestamp":1788367669000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Craniofacial Morphology Following Single- Versus Multi-Segment Fronto-Orbital Advancement for Metopic Synostosis"],"prefix":"10.1177","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"}]},{"given":"Christopher A.","family":"Derderian","sequence":"additional","affiliation":[{"name":"Dr Derderian Plastic Surgery, Dallas, Texas, USA"}],"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"}],"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"}]},{"given":"Paymon","family":"Sanati-Mehrizy","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical 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