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Complications Due to Cranial Distraction for Craniosynostosis
Mariko Noto1, Keisuke Imai1, Takeshi Masuoka1
1Department of Plastic & Reconstructive Surgery.
Cranial distraction for craniosynostosis showed local infections were independent of craniosynostosis type. Longer advancement or younger age increased risks of plate displacement and ulcers.
Area of Science:
- Neurosurgery
- Pediatric Surgery
- Craniofacial Surgery
Background:
- Cranial distraction techniques are used to treat craniosynostosis.
- Complications can occur during or after surgery.
Purpose of the Study:
- To assess long-term clinical outcomes of cranial distraction for craniosynostosis.
- To identify factors contributing to perioperative complications.
Main Methods:
- Retrospective review of 120 patients treated with cranial distraction (1997-2019).
- Analysis of age at surgery, craniosynostosis type, advancement length, and complications.
- Investigation of clinical characteristics associated with increased complication risk.
Main Results:
- No deaths occurred in 120 patients.
- Complications included cerebrospinal fluid leaks (5), epidural abscess (1), local infections (33), device problems (20), erosions/ulcers (23), and decubitus ulcers (8).
- Local infection was not correlated with craniosynostosis type or advancement length. Plate displacement correlated with longer advancement and younger age at surgery.
Conclusions:
- Local infections appear unrelated to craniosynostosis type.
- Increased risk of plate displacement and ulcers is associated with longer advancement lengths and younger patient age due to cranial bone fragility.
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