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Operative treatment of coronal craniosynostosis: 20 years of experience
Zhilin Guo1, Meixiu Ding, Xiongzhen Mu
1Department of Neurosurgery, Ninth People's Hospital Affiliated, Shanghai Jiaotong University, 200011, Shanghai, People's Republic of China. gzlysr@126.com
Background:
To investigate the effect on and risk in coronal synostosis surgery of fronto-orbital advancement.
Methods:
One hundred sixty-five cases of coronal synostosis were retrospectively reviewed, including their clinical manifestations, computed tomography scans, operations, operative complications, and follow-up results.
Results:
Of the 165 cases, 111 were male and 54 were female, with a mean age of 12.1 months. Unilateral coronal synostosis was encountered in 38 cases and bilateral in 127, 45 of which were accompanied by Crouzon syndrome. All cases underwent fronto-orbital advancement. After the operation, 1 patient died from intracranial hemorrhage and 5 developed craniospinal fluid leak. No reoperation was necessary for coronal synostosis relapse in a follow-up study from 3 months to 5 years.
Conclusion:
Fronto-orbital advancement is an effective and safe technique for coronal synostosis. However, longer follow-up is required to rectify the final functional and aesthetic results of craniofacial architecture.
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