Surgical correction of craniosynostosis. A review of 100 cases

• Published in: Journal of cranio-maxillo-facial surgery Vol. 42; no. 8; pp. 1684 - 1691
• Main Authors: Zakhary, George M, Montes, David M, Woerner, Jennifer E, Notarianni, Christina, Ghali, G.E
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.12.2014
• Subjects: Abscess - etiology; Absorbable Implants; Blood Loss, Surgical; Bone Plates; Cause of Death; Child, Preschool; Cicatrix - surgery; Cranial Sinuses - pathology; Cranial vault; Craniosynostoses - classification; Craniosynostoses - surgery; Craniosynostosis; Craniotomy - instrumentation; Craniotomy - methods; Dentistry; Dura Mater - injuries; Female; Follow-Up Studies; Hematoma - etiology; Humans; Infant; Intracranial Hemorrhages - etiology; Male; Operative Time; Plagiocephaly; Plagiocephaly - surgery; Postoperative Complications; Reconstructive Surgical Procedures - instrumentation; Reconstructive Surgical Procedures - methods; Reoperation; Retrospective Studies; Scaphocephaly; Surgery; Surgical Wound Infection - etiology; Syndrome; Treatment Outcome; Cranial vault; Scaphocephaly; Plagiocephaly; Craniosynostosis
• ISSN: 1010-5182; 1878-4119
• DOI: 10.1016/j.jcms.2014.05.014

Abstract Purpose Provide outcome data for open cranial vault reshaping at a single institution by a single craniofacial surgeon treating 100 patients. Methods and subjects A total of 100 patient records were reviewed. Criteria for selection included patients less than three years of age undergoing primary surgery with open cranial vault reshaping and a minimum follow up time of 2 years. Results Of the 100 patients (27 female, 73 male) treated 6 were syndromic and 94 nonsyndromic. Average age and weight were 8.9 months and 9.51 kg, respectively. The oldest child was 30 months and the youngest 5 months at the time of surgery. The estimated blood volume lost was 42.7% of total calculated blood volume ranging from 16.6% to 336%. Average surgical time was 216.7 min. Complications included 2 hematomas, 2 wound infections, 1 subgaleal abscess, 6 dural tears, 3 patients requiring reoperation for residual deformity, 4 cases requiring coronal scar revision, 1 sagittal sinus bleed, and 1 intraoperative death. Conclusions Our review of 100 open repairs of patients with craniosynostosis demonstrates good long-term results with an overall low complication rate. The outcome data will assist in developing future prospective studies aimed at improving the multidisciplinary care of these patients.