What question did this study set out to answer?

To assess long-term calvarial growth and surgical outcomes following single-stage open remodeling for single sutural craniosynostosis.

January 29, 2009Plastic & Reconstructive Surgery

Single Sutural Craniosynostoses: Surgical Outcomes and Long-Term Growth

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Authors

JFJeffrey A. FearonInternational Craniofacial Institute RRRachel A. RuotoloHofstra University JKJ KolárNorthern Illinois University

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Implication

Retrospective study reveals diminished long-term calvarial growth following cranial remodeling in infants with craniosynostosis, suggesting the need for surgical overcorrection.

Key Points

To assess long-term calvarial growth and surgical outcomes following single-stage open remodeling for single sutural craniosynostosis.
Retrospective review of 296 consecutive pediatric patients (248 operative procedures analyzed) undergoing single-stage open remodeling for sagittal, metopic, unilateral coronal, or unilateral lambdoid synostosis.
Tracked long-term growth via serial anthropometric measurements over a follow-up period of up to 11 years (mean, 4 years; n=75).
Operative procedures had an average hospital stay of 2.5 days, a 2% secondary remodeling rate (n=5), a 0.4% nonsurgically treated infection rate (n=1), zero deaths or major complications, and a drop in transfusion rates from 81% to 19% after blood conservation.
Anthropometry demonstrated normalization of cranial indices by 6 weeks postoperatively, followed by statistically significant diminished growth and recapitulation of the primary deformity.
Earlier intervention for metopic synostosis at 4 months was associated with significantly more growth inhibition compared with intervention at 12 months, with similar patterns seen across other synostoses.

Cite This Study

Fearon et al. (2009) studied this question.

synapsesocial.com/papers/6a90d3f7f7c35110f1360518 https://doi.org/10.1097/prs.0b013e318195661a

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Implication

Retrospective study reveals diminished long-term calvarial growth following cranial remodeling in infants with craniosynostosis, suggesting the need for surgical overcorrection.

Single Sutural Craniosynostoses: Surgical Outcomes and Long-Term Growth

Discussion

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Implication

Key Points

Cite This Study

Single Sutural Craniosynostoses: Surgical Outcomes and Long-Term Growth

Discussion

Member takes

Implication

Key Points

Cite This Study

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