{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:01:48Z","timestamp":1789718508715,"version":"4.0.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2014,11,1]],"date-time":"2014-11-01T00:00:00Z","timestamp":1414800000000},"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":[[2014,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To photogrammetrically objectify changes in nonsynostotic craniofacial deformity in orthotically treated versus untreated infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A statistical retrospective pairwise comparison of two respective three-dimensional (3D) photo scans of 80 children performed in a 6-month time lag.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Two comparable samples of children (40 treated, 40 untreated) with nonsynostotic cranial deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Respective 3D photo scans were matched using Cranioform Analytics 4.0 software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>\n                      Median change of 30\u00b0 Cranial Vault Asymmetry Index (CVAI), modified CVAI (CVAI\n                      <jats:sub>mod<\/jats:sub>\n                      ), Cranial Index (CI), and posterior symmetry ratio (PSR).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We found an improvement in \u039430\u00b0 CVAI by 3.3% (treated) and by 1.31% (untreated), respectively. CVAI\n                      <jats:sub>mod<\/jats:sub>\n                      improved by 3.46% in the treated group and by 1.55% in the untreated group. CI improved by 4.41% in the treated group and by 3.68% in the untreated group, and PSR improved by 0.71 in the treated group and 0.49 in the untreated group. Although improvement of cranial asymmetry was higher in those children treated with an individual molding orthosis, we could not document a statistically significant difference between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Helmet therapy may be less appropriate for the correction of brachycephaly than for cranial asymmetry. Nonsynostotic cranial deformity shows some spontaneous correction. Photogrammetry presents an accurate method to objectify craniofacial changes in early infancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/13-010","type":"journal-article","created":{"date-parts":[[2013,9,4]],"date-time":"2013-09-04T14:35:14Z","timestamp":1378305314000},"page":"632-638","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Nonsynostotic Cranial Deformity: A Six-Month Matched-Pair Photogrammetric Comparison of Treated and Untreated Infants"],"prefix":"10.1177","volume":"51","author":[{"given":"J.F.","family":"Wilbrand","sequence":"first","affiliation":[{"name":"Department of Maxillofacial Surgery, University Hospital Giessen GmbH, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Hagemes","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, University Hospital Giessen GmbH, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Wilbrand","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, University Hospital Giessen GmbH, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"K\u00fchnemann","sequence":"additional","affiliation":[{"name":"Institute of Medical Informatics, University of Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Dey","sequence":"additional","affiliation":[{"name":"Department for Neuropediatrics, University of Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Streckbein","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, University Hospital Giessen GmbH, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.P.","family":"Howaldt","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, University Hospital Giessen GmbH, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,11,1]]},"reference":[{"issue":"6","key":"bibr1-13-010","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1542\/peds.89.6.1120","volume":"89","author":"American Academy of Pediatrics.","year":"1992","journal-title":"Pediatrics."},{"key":"bibr2-13-010","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200405000-00004"},{"key":"bibr3-13-010","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199601000-00005"},{"key":"bibr4-13-010","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03029.x"},{"key":"bibr5-13-010","first-page":"1953","volume":"67","author":"Biggs W.S.","year":"2003","journal-title":"Am Fam 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