Intracranial volume (ICV) in isolated sagittal craniosynostosis measured by 3D photocephalometry: A new perspective on a controversial issue
Abstract
Background There are still controversies regarding the intracranial volumes in patients with isolated sagittal craniosynostosis compared to a healthy population. This study aimed to compare the intracranial volume of children with sagittal synostosis and scaphocephaly to an age- and gender-matched control cohort using three-dimensional (3D) photogrammetry.Methods 62 boys and nine girls with sagittal craniosynostosis were included in this study. The intracranial volume was measured at the first clinical presentation. However, 3D photogrammetry was performed at children not younger than 3 months. The 3D photogrammetric data of 547 healthy boys and 287 healthy girls between the ages of 3-10 month was analyzed to establish an age- and gender-matched control group.Results Male patients with sagittal synostosis showed a significantly reduced intracranial volume compared to the reference group. For female patients, the intracranial volume was slightly lower compared to the norm group, but not significantly.Conclusions Male children with sagittal synostosis showed significantly decreased intracranial volume between the age of 3 and 10 months compared to an age- and gender-matched control group. Female patients in the same age group presented a lower intracranial volume compared to the norm group. Measuring intracranial volume using 3D photogrammetry is a comparable and valuable alternative to CT scans that leads to a significant reduction of radiation exposure to the growing brain.
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Intracranial volume in ISS between the third and tenth months of life is lower than in children of the same age without craniosynostosis.
“Other studies [20] have shown partially different results, namely that the intracranial volume in ISS between the third and tenth months of life is lower than in children of the same age without craniosynostosis [20].”
From Isolated Sagittal Craniosynostosis: A Comprehensive Review (2024) · cites this paper as [20]
Cites
Management of craniosynostoses
Renier, D., Lajeunie, E., Arnaud, E., & Marchac, D. (2000) · Child s Nervous System · doi:10.1007/s003810000320 · Cited by 384 · see citing works
Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis
Jimenez, D. F., & Barone, C. M. (1998) · Journal of Neurosurgery · doi:10.3171/jns.1998.88.1.0077 · Cited by 364 · see citing works
Twenty-Year Experience with Early Surgery for Craniosynostosis
McCarthy, J. G., Glasberg, S. B., Cutting, C. B., Epstein, F. J., Grayson, B. H., Ruff, G., Thorne, C. H. M., Wisoff, J. H., & Zide, B. M. (1995) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199508000-00004 · Cited by 228 · see citing works
The Impact of Age at Surgery on Long-Term Neuropsychological Outcomes in Sagittal Craniosynostosis
Patel, A., Yang, J. F., Hashim, P. W., Travieso, R., Terner, J. S., Mayes, L. C., Kanev, P. M., Duncan, C. C., Jane, J. A., Jane, J. A., et al. (2014) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000000511 · Cited by 212 · see citing works
Hashim, P. W., Patel, A., Yang, J. F., Travieso, R., Terner, J., Losee, J. E., Pollack, I., Jane, J., Jane, J., Kanev, P., et al. (2014) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0000000000000420 · Cited by 189 · see citing works
Intracranial volume change in craniosynostosis.
Sgouros, S., Hockley, A., Goldin, J., Wake, M., & Natarajan, K. (1999) · Journal of Neurosurgery · doi:10.3171/jns.1999.91.4.0617 · Cited by 138 · see citing works
Posnick, J. C., Lin, K. Y. K., Chen, P., & Armstrong, D. C. (1993) · PubMed · Cited by 123 · see citing works
The Diagnosis and Treatment of Single-Sutural Synostoses: Are Computed Tomographic Scans Necessary?
Fearon, J. A., Singh, D. J., Beals, S. P., & Yu, J. C. (2007) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000279477.56044.55 · Cited by 119 · see citing works
Relationship between intracranial pressure and intracranial volume in craniosynostosis
Fok, H., Jones, B. M., Gault, D. T., Andar, U., & Hayward, R. D. (1992) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(92)90013-n · Cited by 114 · see citing works
Wall, S., Thomas, G., Johnson, D. W., Byren, J., Jayamohan, J., Magdum, S., McAuley, D., & Richards, P. (2014) · Journal of Neurosurgery: Pediatrics · doi:10.3171/2014.8.peds1425 · Cited by 111 · see citing works
Surgical Management of Sagittal Synostosis
Marsh, J. L., Jenny, A. B., Galić, M., Picker, S., & Vannier, M. W. (1991) · Neurosurgery Clinics of North America · doi:10.1016/s1042-3680(18)30724-1 · Cited by 110 · see citing works
Surgical management of sagittal synostosis. A quantitative evaluation of two techniques.
Marsh, J. L., Jenny, A. B., Galić, M., Picker, S., & Vannier, M. W. (1991) · PubMed · Cited by 104 · see citing works
Craniosynostosis: A Radiological and Surgical Perspective
Kirmi, O., Lo, S. J., Johnson, D., & Anslow, P. (2009) · Seminars in Ultrasound CT and MRI · doi:10.1053/j.sult.2009.08.002 · Cited by 101 · see citing works
Heller, J. B., Heller, M. M., Knoll, B., Gabbay, J. S., Duncan, C., & Persing, J. A. (2008) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000293762.71115.c5 · Cited by 100 · see citing works
Value and reliability of anthropometric measurements of cranial deformity in early childhood
Wilbrand, J.-F., Wilbrand, M., Pons‐Kühnemann, J., Blecher, J.-C., Christophis, P., Howaldt, H., & Schaaf, H. (2010) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2010.03.010 · Cited by 99 · see citing works
Intracranial Volume in Children With Craniosynostosis
Gault, D. T., Rénier, D., Marchac, D., Ackland, F. M., & Jones, B. M. (1990) · Journal of Craniofacial Surgery · doi:10.1097/00001665-199001000-00003 · Cited by 95 · see citing works
CT-Determined Intracranial Volume for a Normal Population
Abbott, A. H., Netherway, D. J., Niemann, D., Clark, B., Yamamoto, M., Cole, J., Hanieh, A., Moore, M. H., & David, D. J. (2000) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200011030-00002 · Cited by 93 · see citing works
Posnick, J. C., Armstrong, D., & Bite, U. (1995) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-199508000-00007 · Cited by 90 · see citing works
Avoiding CT scans in children with single-suture craniosynostosis
Schweitzer, T., Böhm, H., Meyer‐Marcotty, P., Collmann, H., Ernestus, R., & Krauß, J. (2012) · Child s Nervous System · doi:10.1007/s00381-012-1721-0 · Cited by 88 · see citing works
Intracranial Volumes in a Large Series of Healthy Children
Kamdar, M., Gomez, R., & Ascherman, J. (2009) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0b013e3181bcefc4 · Cited by 84 · see citing works
Objectification of cranial vault correction for craniosynostosis by three-dimensional photography
Wilbrand, J.-F., Szczukowski, A., Blecher, J.-C., Pons‐Kühnemann, J., Christophis, P., Howaldt, H., & Schaaf, H. (2012) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2012.01.007 · Cited by 83 · see citing works
Isolated sagittal craniosynostosis: definition, classification, and surgical indications
Massimi, L., Caldarelli, M., Tamburrini, G., Paternoster, G., & Di Rocco, C. (2012) · Child s Nervous System · doi:10.1007/s00381-012-1834-5 · Cited by 76 · cited 1× · see citing works
“Published by patient-tailored surgical approach is required (Massimi et al., 2012; Engel et al., 2012).”
BackgroundMeasuring Cranial Vault Volume With Three-Dimensional Photography
McKay, D. R., Davidge, K. M., Williams, S. K., Ellis, L. A., Chong, D. K., Teixeira, R. P., Greensmith, A. L., & Holmes, A. D. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181ebe92a · Cited by 74 · see citing works
Diagnostic imaging in the management of craniosynostoses
Kotrikova, B., Krempien, R. C., Freier, K., & Mühling, J. (2006) · European Radiology · doi:10.1007/s00330-006-0520-y · Cited by 73 · see citing works
Papilledema in Isolated Single-Suture Craniosynostosis: Prevalence and Predictive Factors
Florisson, J. M. G., van Veelen, M.-L. C., Bannink, N., van Adrichem, L. N. A., van der Meulen, J. J. N. M., Bartels, M. C., & Mathijssen, I. M. J. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181c3465e · Cited by 71 · see citing works
Posnick, J. C., Lin, K. Y., Chen, P., & Armstrong, D. (1993) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-199311000-00003 · Cited by 70 · see citing works
Three-dimensional analysis of cranial growth from 6 to 12 months of age
Meyer‐Marcotty, P., Böhm, H., Linz, C., Kochel, J., Stellzig‐Eisenhauer, A., & Schweitzer, T. (2013) · European Journal of Orthodontics · doi:10.1093/ejo/cjt010 · Cited by 64 · see citing works
Diagnosis of isolated sagittal synostosis: are radiographic studies necessary?
Agrawal, D., Steinbok, P., & Cochrane, D. D. (2006) · Child's Nervous System · doi:10.1007/s00381-005-1243-0 · Cited by 53 · see citing works
Marcus, J. R., Stokes, T. H., Mukundan, S., & Forrest, C. R. (2006) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200607000-00013 · Cited by 50 · see citing works
Intracranial volume in patients with nonsyndromal craniosynostosis
Netherway, D. J., Abbott, A. H., Anderson, P. J., & David, D. J. (2005) · Journal of neurosurgery · doi:10.3171/ped.2005.103.2.0137 · Cited by 49 · see citing works
Freudlsperger, C., Steinmacher, S., Bächli, H., Somlo, E., Hoffmann, J., & Engel, M. (2015) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2015.02.017 · Cited by 47 · see citing works
Lee, S., Duncan, C. C., Knoll, B. I., & Persing, J. A. (2010) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181dab5be · Cited by 45 · see citing works
Amm, C. A., & Denny, A. D. (2005) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000176897.76579.7c · Cited by 45 · see citing works
Diagnostic Pediatric Computed Tomographic Scans of the Head: Actual Dosage versus Estimated Risk
Jaffurs, D., & Denny, A. D. (2009) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181b59d2d · Cited by 38 · see citing works
Toma, R., Greensmith, A. L., Meara, J. G., Costa, A. C. D., Ellis, L. A., Willams, S. K., & Holmes, A. D. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181d841d9 · Cited by 37 · see citing works
Intracranial volume measurement of sagittal craniosynostosis
Anderson, P. J., Netherway, D. J., McGlaughlin, K., & David, D. J. (2007) · Journal of Clinical Neuroscience · doi:10.1016/j.jocn.2006.07.001 · Cited by 37 · see citing works
Kolar, J. C., Salter, E. M., & Weinberg, S. M. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181ebcf27 · Cited by 31 · see citing works
Mutchnick, I. S., & Maugans, T. (2012) · Journal of Neurosurgery Pediatrics · doi:10.3171/2011.12.peds11306 · Cited by 29 · see citing works
Intracranial volume is normal in infants with sagittal synostosis
Fischer, S., Maltese, G., Tarnow, P., Wikberg, E., Bernhardt, P., Tovetjärn, R., & Kölby, L. (2015) · Journal of Plastic Surgery and Hand Surgery · doi:10.3109/2000656x.2014.971804 · Cited by 29 · see citing works
Single Suture Craniosynostosis: Diagnosis and Imaging
Hukki, J., Saarinen, P., & Kangasniemi, M. (2008) · KARGER eBooks · doi:10.1159/000115033 · Cited by 28 · see citing works
Cephalic index correlates poorly with intracranial volume in non-syndromic scaphocephalic patients
Leikola, J., Koljonen, V., Heliövaara, A., Hukki, J., & Koivikko, M. (2014) · Child's Nervous System · doi:10.1007/s00381-014-2456-x · Cited by 25 · see citing works
Radiation-induced cerebral lesions in childhood
Cantini, R., Giorgetti, W., Valleriani, A. M., Burchianti, M., & Amodeo, C. (1989) · Child s Nervous System · doi:10.1007/bf00272113 · Cited by 22 · see citing works
Engel, M., Freudlsperger, C., Hoffmann, J., Mühling, J., Castrillon‐Oberndorfer, G., & Seeberger, R. (2012) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2012.01.024 · Cited by 21 · see citing works
Metopic and Sagittal Synostosis
Posnick, J. C., Armstrong, D. C., & Bite, U. (1995) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199508000-00008 · Cited by 13 · see citing works
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Cited by
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Martini, M., Klausing, A., Lüchters, G., Heim, N., & Messing-Jünger, M. (2018) · Head & Face Medicine · doi:10.1186/s13005-017-0159-8 · Cited by 89 · see citing works
Mercan, E., Hopper, R. A., & Maga, A. M. (2020) · Journal of Anatomy · doi:10.1111/joa.13085 · Cited by 34 · see citing works
Di Rocco, F., Gleizal, A., Szathmari, A., Beuriat, P. A., Paulus, C., & Mottolese, C. (2019) · Neurochirurgie · doi:10.1016/j.neuchi.2019.09.011 · Cited by 30 · see citing works
Abdel‐Alim, T., Iping, R., Wolvius, E. B., Mathijssen, I. M. J., Dirven, C. M. F., Niessen, W. J., van Veelen, M. C., & Roshchupkin, G. V. (2021) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000007379 · Cited by 26 · see citing works
Isolated Sagittal Craniosynostosis: A Comprehensive Review
Spazzapan, P., & Velnar, T. (2024) · Diagnostics · doi:10.3390/diagnostics14040435 · Cited by 24 · see citing works
“Other studies [20] have shown partially different results, namely that the intracranial volume in ISS between the third and tenth months of life is lower than in children of the same age without craniosynostosis [20].”
ResultMertens, C., Wessel, E., Berger, M., Ristow, O., Hoffmann, J., Kansy, K., Freudlsperger, C., Bächli, H., & Engel, M. (2017) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2017.09.019 · Cited by 22 · see citing works
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Trandzhiev, M., Vezirska, D. I., Maslarski, I., Milev, M. D., Laleva, L., Nakov, V., Cornelius, J. F., & Spiriev, T. (2023) · Cureus · doi:10.7759/cureus.46251 · Cited by 23 · see citing works
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Still, M. E., Chidarala, S., Alvarado, A., Neal, D., Governale, L. S., & Ching, J. A. (2021) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000008357 · Cited by 15 · see citing works
Holland, J., Rodrigues, D., Mohan, S., & White, N. (2019) · Child s Nervous System · doi:10.1007/s00381-018-4018-0 · Cited by 11 · see citing works
Automated Measurement of Intracranial Volume Using Three-Dimensional Photography
Tu, L., Porras, A. R., Enquobahrie, D. A., Buck, B. S. G. C., Tsering, D., Horvath, S., Keating, R., Oh, A. K., Rogers, G. F., & Linguraru, M. G. (2020) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000007066 · Cited by 9 · see citing works
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Urbani, U., Borro, L., Giorgi, A., Silvestri, S., Cecchitelli, M., Pagliarosi, O., Galo, J., Armisi, L., Zama, M., & Secinaro, A. (2025) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2025.03.012 · Cited by 1 · see citing works
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Madaree, A., Bisetty, V., Mohan, N., Barnes, C., & Lazarus, L. (2023) · Biomedical visualization · doi:10.1007/978-3-031-36850-9_7 · Cited by 1 · see citing works
Rocco, F. D. (2020) · Springer eBooks · doi:10.1007/978-3-319-72168-2_58 · Cited by 1 · see citing works
Mercan, E., Hopper, R. A., & Maga, A. M. (2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/528869
Rocco, F. D. (2019) · Springer eBooks · doi:10.1007/978-3-319-31512-6_58-1
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- Authors
- Seeberger, R., Hoffmann, J., Freudlsperger, C., Berger, M., Bodem, J., Horn, D., & Engel, M.
- Affiliations
- Heidelberg University (DE)
- Corresponding author
- Engel, M.
- Venue
- Journal of Cranio-Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 2016-05
- Volume
- 44
- Issue
- 5
- Pages
- 626-631
- ISSN
- 1010-5182 (ISSN-L)
- OpenAlex
- W2281294563
- Cited by
- 25
- References
- 44
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 1 · 2017: 1
- FWCI
- 2.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cranio-Maxillofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
- Social Sciences › Arts and Humanities › Archeology › Forensic Anthropology and Bioarchaeology Studies
- Keywords
- sagittal craniosynostosis, intracranial volume, scaphocephaly, 3D photogrammetry, sex differences, infants, radiation dose reduction, cranial growth
- MeSH terms
- Cephalometry, Craniosynostoses, Female, Humans, Infant, Male, Photogrammetry, Retrospective Studies, Software, Case-Control Studies, Imaging, Three-Dimensional
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