{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:11:25Z","timestamp":1777522285952,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"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":[[2012,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate serial head circumference (HC) measurements and neurodevelopmental (ND) screening before and after surgical revision for craniosynostosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary institutional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>All children treated with single-stage frontal-orbital advancement or total calvarial expansion for single-suture (SS) or multiple-suture (MS) craniosynostosis over a 7-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Changes in ND and HC were measured over postoperative visits after the primary surgery. More importantly, ND and HC changes were measured prerevision and postrevision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 183 patients undergoing primary surgery, complete records and adequate follow-up were available for 112 patients. The overall revision rate was 21% (n = 23). Postrevision follow-up was adequate for 18 of the 23 revisions. After primary surgery, but prior to revision, children demonstrated a larger decline in HC(z-score, median = -1) along with higher ND findings (median = 2) from one postoperative visit to the next than those who did not go on revision (HC z-score median = 0, ND median = 0). After revision, patients demonstrated a significant improvement in ND screening findings (median AND findings = -2) compared with prerevision ND (p &lt; .001). Head circumference also significantly increased by a z-score of +1 postrevision (p = .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients chosen for revision surgery display not only a larger decline in HC but also more ND findings prior to revision. Furthermore, surgical revision has a significant association with both improved ND screening and HC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/10-280","type":"journal-article","created":{"date-parts":[[2011,10,28]],"date-time":"2011-10-28T12:06:14Z","timestamp":1319803574000},"page":"177-184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Serial Head Circumference and Neurodevelopmental Screening after Surgical Correction for Single- and Multiple-Suture Craniosynostosis"],"prefix":"10.1177","volume":"49","author":[{"given":"Michael P.","family":"Carlisle","sequence":"first","affiliation":[{"name":"University of Kansas Medical Center, Department of Otolaryngology\u2013Head & Neck Surgery, Kansas City, Kansas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sagar T.","family":"Mehta","sequence":"additional","affiliation":[{"name":"University of Missouri, Kansas City, School of Medicine, Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin J.","family":"Sykes","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center, Department of Otolaryngology\u2013Head & Neck Surgery, Kansas City, Kansas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virender K.","family":"Singhal","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery\/Craniofacial\u2013Cleft Palate, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,3,1]]},"reference":[{"key":"bibr1-10-280","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-007-0430-6"},{"key":"bibr2-10-280","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198102000-00001"},{"key":"bibr3-10-280","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-44667"},{"key":"bibr4-10-280","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199809020-00002"},{"key":"bibr5-10-280","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199903000-00010"},{"key":"bibr6-10-280","volume-title":"Craniosynostosis: Diagnosis, Evaluation, and Management.","author":"Cohen 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