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[DEMOGRAPHIC AND ANATOMIC CHARACTERISTICS AND SURGERY RESULTS IN CHILDREN WHO WERE TREATED IN SOROKA FOR
Insights
Craniosynostosis treatment in children leads to high parent satisfaction, though attention deficit disorder (ADD) rates are elevated. Prompt surgical intervention is key for managing this complex condition.
Area of Science:
- Pediatric Surgery
- Craniofacial Surgery
- Developmental Pediatrics
Background:
- Craniosynostosis involves premature fusion of cranial sutures, potentially causing significant physical and social issues if untreated.
- This condition can be isolated or part of a genetic syndrome.
Purpose of the Study:
- To evaluate treatment outcomes for craniosynostosis at Soroka University Medical Center.
- To compare center-specific data with existing literature regarding demographics and syndromic prevalence.
- To assess the impact of craniosynostosis on quality of life, including cognitive function and aesthetic results.
Main Methods:
- A retrospective review of patient charts from 1991-2005.
- Analysis of demographic data, suture involvement, syndromic status, and need for revision surgery.
- Assessment of cognitive outcomes (Attention Deficit Disorder) and patient/parent satisfaction with aesthetic results.
Main Results:
- 63 patients were treated; 47.6% female, 50.8% male. Coronal synostosis was most common (42.9%).
- Only 7.9% of cases were syndromic; 9.5% required a second surgery.
- A significant 26.7% of older patients had Attention Deficit Disorder (ADD), compared to 10% in the general population. High parental satisfaction (4.77/5) with aesthetic outcomes was reported.
Conclusions:
- Craniosynostosis is a complex surgical challenge, but timely treatment yields high patient and parental satisfaction.
- Children with craniosynostosis exhibit elevated rates of Attention Deficit Disorder (ADD).
Background:
Craniosynostosis, the premature fusion of one or more of the cranial sutures, can occur as a part of a syndrome or as an isolated deformity. When not treated properly it may have major physical and social implications.
Study Hypothesis:
We assumed that our center's results are similar to those reported in the literature, in terms of gender and anatomic characteristics, and different in terms of the number of syndromic cases. We also assume that only a few patients needed a second surgery and that this medical problem effects quality of life in term of cognitive impairment and aesthetic results.
Methods:
A retrospective chart review was conducted of patients who were treated for craniosynostosis in Soroka University Medical Center between the years 1991-2005.
Results:
A total of 63 patients were treated in Soroka during those years: 30 (47.6%) were females and 33 (50.8%) were males; 27 (42.9%) had coronal synostosis, 20 (31.8%) had sagital synostosis, 10 (15.8%) had metopic synostosis, 5 (7.9%) had lambdoid synostosis. A total of 5 (7.9%) cases were syndromic and the rest were isolated; 6 patients (9.5%) needed a second surgery for correction of the defect; 8 out of 30 patients (26.7%) 6 years or older at the present time suffer from attention deficit disorder. Parents' satisfaction from aesthetic results on a scale of 1-5 was 4.77 with SD of 0.504, while the doctors' score was 3.93 with SD 0.980 (p = 0.01).
Conclusions:
Craniosynostosis is a complex surgical problem, however with prompt treatment it may attain high levels of satisfaction among parents and patients. We found high rates 26.7% vs 10% (in the general population) of ADD in children affected by the disease.