{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T09:05:39Z","timestamp":1779527139908,"version":"3.53.1"},"reference-count":54,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"\n OBJECTIVE<\/jats:title>\n The main indication for craniofacial remodeling of craniosynostosis is to correct the deformity, but potential increased intracranial pressure resulting in neurocognitive damage and neuropsychological disadvantages cannot be neglected. The relapse rate after fronto-orbital advancement (FOA) seems to be high; however, to date, objective measurement techniques do not exist. The aim of this study was to quantify the outcome of FOA using computer-assisted design (CAD) and computer-assisted manufacturing (CAM) to create individualized 3D-printed templates for correction of craniosynostosis, using postoperative 3D photographic head and face surface scans during follow-up.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n The authors included all patients who underwent FOA between 2014 and 2020 with individualized, CAD\/CAM-based, 3D-printed templates and received postoperative 3D photographic face and head scans at follow-up. Since 2016, the authors have routinely planned an additional \u201covercorrection\u201d of 3 mm to the CAD-based FOA correction of the affected side(s). The virtually planned supraorbital angle for FOA correction was compared with the postoperative supraorbital angle measured on postoperative 3D photographic head and face surface scans. The primary outcome was the delta between the planned CAD\/CAM FOA correction and that achieved based on 3D photographs. Secondary outcomes included outcomes with and those without \u201covercorrection,\u201d time of surgery, blood loss, and morbidity.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Short-term follow-up (mean 9 months after surgery; 14 patients) showed a delta of 12\u00b0 between the planned and achieved supraorbital angle. Long-term follow-up (mean 23 months; 8 patients) showed stagnant supraorbital angles without a significant increase in relapse. Postsurgical supraorbital angles after an additionally planned overcorrection (of 3 mm) of the affected side showed a mean delta of 11\u00b0 versus 14\u00b0 without overcorrection. The perioperative and postoperative complication rates of the whole cohort (n = 36) were very low, and the mean (SD) intraoperative blood loss was 128 (60) ml with a mean (SD) transfused red blood cell volume of 133 (67) ml.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Postoperative measurement of the applied FOA on 3D photographs is a feasible and objective method for assessment of surgical results. The delta between the FOA correction planned with CAD\/CAM and the achieved correction can be analyzed on postoperative 3D photographs. In the future, calculation of the amount of \u201covercorrection\u201d needed to avoid relapse of the affected side(s) after FOA may be possible with the aid of these techniques.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2021.1.focus201026","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:46:46Z","timestamp":1617263206000},"page":"E5","source":"Crossref","is-referenced-by-count":10,"title":["The need for overcorrection: evaluation of computer-assisted, virtually planned, fronto-orbital advancement using postoperative 3D photography"],"prefix":"10.3171","volume":"50","author":[{"given":"Nicole","family":"Frank","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joerg","family":"Beinemann","sequence":"additional","affiliation":[{"name":"Oral and Craniomaxillofacial Surgery, University Hospital of Basel;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian M.","family":"Thieringer","sequence":"additional","affiliation":[{"name":"Oral and Craniomaxillofacial Surgery, University Hospital of Basel;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benito K.","family":"Benitez","sequence":"additional","affiliation":[{"name":"Oral and Craniomaxillofacial Surgery, University Hospital of Basel;"},{"name":"Department of Clinical Research, University of Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Kunz","sequence":"additional","affiliation":[{"name":"Oral and Craniomaxillofacial Surgery, University Hospital of Basel;"},{"name":"Faculty of Medicine and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Guzman","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Division of Pediatric Neurosurgery, University Children\u2019s Hospital of Basel; and"},{"name":"Faculty of Medicine and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jehuda","family":"Soleman","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Division of Pediatric Neurosurgery, University Children\u2019s Hospital of Basel; and"},{"name":"Faculty of Medicine and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"J Korean Neurosurg Soc","doi-asserted-by":"publisher","first-page":"192","DOI":"10.3340\/jkns.2016.59.3.192","article-title":"Development and growth of the normal cranial vault: an embryologic review","volume":"59","author":"Jin SW","year":"2016","unstructured":"Jin SW, Sim KB, Kim SD. 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