Alder Hey Children's NHS Foundation Trust, Liverpool.
Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, Oxford.
J Craniofac Surg. 2022;33(1):112-116. doi: 10.1097/SCS.0000000000008045.
The Craniofacial Collaboration UK (CC-UK) has been established across the 4 highly specialized craniofacial centers in the UK since 2015. This joint collective aims to address the current limitations within developmental craniofacial research, using robust clinical data from a homogenous sample of children. This paper presents the third wave of findings from the CC-UK, with consideration to developmental and behavioral parent-report measures. Whilst previous data for sagittal synostosis have been presented, this article summarizes the analysis of these outcomes for children with metopic synostosis (MS) at 3 years who have undergone primary corrective surgery. Results highlight similar patterns to that of earlier CC-UK work, with the majority of children falling within 1 standard deviation of the population normative means across all measures. However, statistically significant difficulties were found between group means for children with MS on various developmental and behavioral domains. Prosocial skills and peer difficulties were reported as the greatest areas of behavioral concern for parents, with prosocial skills found to be below the level expected for their chronological age. In order to further understand the developmental trajectory of children with MS, longitudinal examination of individual diagnostic and specific age groups with single-suture craniosynostosis is crucial. The continuation of the CC-UK provides an opportunity to attain this goal.
英国颅面协作组织(CC-UK)自 2015 年以来已在英国的 4 个高度专业化的颅面中心建立。该联合组织旨在利用来自同质儿童样本的强大临床数据来解决当前发育性颅面研究的局限性。本文介绍了 CC-UK 的第三波研究结果,考虑了发育和行为方面的父母报告措施。虽然已经提出了矢状缝早闭的先前数据,但本文总结了对接受初次矫正手术的额缝早闭(MS)儿童在 3 岁时的这些结果的分析。结果突出了与早期 CC-UK 工作类似的模式,大多数儿童在所有测量指标中都落在人群正常值的 1 个标准差内。然而,在不同的发育和行为领域,MS 儿童组之间的均值存在统计学上的显著差异。父母报告称,亲社会技能和同伴困难是最大的行为问题领域,亲社会技能被发现低于其年龄的预期水平。为了进一步了解 MS 儿童的发育轨迹,对患有单缝颅面骨融合的个体诊断和特定年龄组进行纵向检查至关重要。CC-UK 的继续提供了实现这一目标的机会。