Early surgical treatment of nonsyndromic craniosynostosis

被引:17
|
作者
Ferreira, MP
Collares, MVM
Ferreira, NP
Kraemer, JL
Pereira, AD
Pereira, GD
机构
[1] Hosp Sao Jose, Dept Neurosurg, BR-90020060 Porto Alegre, RS, Brazil
[2] Hosp Clin Porto Alegre, Dept Neurosurg, BR-90035000 Porto Alegre, RS, Brazil
[3] Univ Fed Rio Grande do Sul, Sch Med, BR-90035000 Porto Alegre, RS, Brazil
[4] Hosp Clin Porto Alegre, Craniomaxillofacial Surg Unit, BR-90035000 Porto Alegre, RS, Brazil
[5] Fdn Fac Fed Ciencias Med Porto Alegre, Sch Med, BR-90050170 Porto Alegre, RS, Brazil
来源
SURGICAL NEUROLOGY | 2006年 / 65卷
关键词
craniosynostosis; craniostenosis; craniofacial deformity;
D O I
10.1016/j.surneu.2005.11.038
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Craniosynostosis, a premature fusion of cranial sutures, can happen as an isolated defect (nonsyndromic) or as part of a syndrome. It may lead to raised intracranial pressure and deformity of both the cranial and facial skeletons. Early surgery is usually the best treatment choice. The aim of this study was to review the experience of a multidisciplinary staff with the surgical treatment of nonsyndromic craniosynostosis. Methods: All the nonsyndromic craniosynostosis cases treated surgically from 1991 to 2005 at 2 neurosurgical centers were reviewed. The variables analyzed were sex, age, weight, type of deformity, estimated volemia, surgical technique, surgical time, blood loss, PO hospitalization time, and complications. All data were stored in a database and analyzed with Microsoft Access (Microsoft Corp, Seattle, WA) and SPSS V11.0 (SPSS, Inc, Chicago, IL). Results: The sample consisted of 120 patients (70 males, 50 females). Six patients were excluded because of their atypical timing of treatment (average age, 72 months). The final average age was 7.08 months (variation, 1-18), and the average weight was 7.8 kg. The types of deformities found were scaphocephaly (n = 54, 45%), plagiocephaly (n = 27, 22%), trigonocephaly (n = 19, 16%), brachycephaly (n = 16, 13%), and oxycephaly (n = 4, 3%). The mean surgical time was 186 minutes and the mean PO hospitalization time was 6.8 days. The mortality on this series was 2.6% (3 patients). In the last operated cases, a significant improvement in morbid-mortality was observed. Conclusion: A multidisciplinary approach, including neurosurgeons, neurologists, and pediatricians, and appropriate training of the clinical surgical staff can minimize the risks and decrease the complications in the treatment of craniosynostosis, leading to a satisfactory outcome. (c) 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码:S22 / S26
页数:5
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