{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T21:55:15Z","timestamp":1761947715249},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2011,6]]},"abstract":"\nObject<\/jats:title>\nSagittal craniosynostosis is traditionally considered to be a surgical condition. Poor results of simple suturectomy follow from early reclosure of the suture. A wider craniectomy or use of interposing materials has not improved the outcome. However, endoscopic suturectomy supplemented with postoperative use of a molding helmet has shown good results. Because suturectomy reunites within 8\u201312 weeks of surgery, the authors questioned if the improved outcome was primarily related to use of the helmet.<\/jats:p><\/jats:sec>\n\nMethods<\/jats:title>\nIn 4 patients whose families opted for calvarial reconstruction when the infant was 4\u20136 months old, instead of endoscopic suturectomy, a molding helmet was used to minimize compensatory changes in the interim. Patients underwent 3D CT scanning to confirm craniosynostosis. Follow-up visits were made at intervals of 4 weeks for adjustment of the helmet, head circumference measurements, clinical photographs, and cranial index measurement.<\/jats:p><\/jats:sec>\n\nResults<\/jats:title>\nThere was significant improvement in the head shape within 6 weeks of use of the molding helmet. The cranial index score improved from a mean (\u00b1 SD) of 67% \u00b1 3% to 75% \u00b1 2%.<\/jats:p><\/jats:sec>\n\nConclusions<\/jats:title>\nThese cases demonstrate that molding helmets improve head shape even without a suturectomy in patients with sagittal craniosynostosis, challenging the traditional view.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2011.4.peds116","type":"journal-article","created":{"date-parts":[[2011,6,1]],"date-time":"2011-06-01T14:14:43Z","timestamp":1306937683000},"page":"627-632","source":"Crossref","is-referenced-by-count":30,"title":["Effect of molding helmet on head shape in nonsurgically treated sagittal craniosynostosis"],"prefix":"10.3171","volume":"7","author":[{"given":"Sandeep","family":"Sood","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlene","family":"Rozzelle","sequence":"additional","affiliation":[{"name":"Plastic Reconstructive Surgery, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blerina","family":"Shaqiri","sequence":"additional","affiliation":[{"name":"Plastic Reconstructive Surgery, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Sood","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven D.","family":"Ham","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0070627","series-title":"Neuropediatrics","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1055\/s-2003-44667","article-title":"Sagittal craniosynostosis: cognitive development, behaviour, and quality of life in unoperated children","volume":"34","author":"Boltshauser","year":"2003"},{"key":"b2-0070627","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1007\/BF00395087","article-title":"Synostectomy versus complex cranioplasty for the treatment of sagittal synostosis","volume":"12","author":"Boop","year":"1996"},{"key":"b3-0070627","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/BF01420511","article-title":"The use of Zenker's solution in linear craniectomy for craniosynostosis: technical modification and reappraisal","volume":"83","author":"Brandt","year":"1986"},{"key":"b4-0070627","series-title":"J Pediatr","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/S0022-3476(81)80549-5","article-title":"Plagiocephaly and torticollis: etiology, natural history, and helmet treatment","volume":"98","author":"Clarren","year":"1981"},{"key":"b5-0070627","series-title":"Ann Neurol","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1002\/ana.410020607","article-title":"Tables of cranial and orbital measurements, cranial volume, and derived indexes in males and females from 7 days to 20 years of age","volume":"2","author":"Dekaban","year":"1977"},{"key":"b6-0070627","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1097\/SCS.0b013e3181c3465e","article-title":"Papilledema in isolated single-suture craniosynostosis: prevalence and predictive factors","volume":"21","author":"Florisson","year":"2010"},{"key":"b7-0070627","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"48","DOI":"10.3171\/jns.1975.43.1.0048","article-title":"Craniosynostosis","volume":"43","author":"Foltz","year":"1975"},{"key":"b8-0070627","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"193","DOI":"10.3171\/2010.5.PEDS09313","article-title":"Surgical treatment of single-suture craniosynostosis: an argument for quantitative methods to evaluate cosmetic outcomes. 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