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Craniofacial reconstructions in children with craniosynostosis
Peter Spazzapan1, Miha Kocar2, Andreja Eberlinc2
1Paediatric Neurosurgery Unit, Clinical Department of Neurosurgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Journal of Integrative Neuroscience
|July 22, 2022
Summary
Craniosynostosis treatment involves surgery to correct premature suture fusion, enabling normal brain development. This multidisciplinary approach addresses skull deformities and prevents complications like intracranial hypertension.
Area of Science:
- Pediatric Neurosurgery
- Congenital Disorders
- Craniofacial Surgery
Background:
- Craniosynostosis is a rare congenital condition where cranial sutures fuse prematurely.
- This premature ossification obstructs brain growth, causing skull deformities.
- Potential complications include intracranial hypertension and cognitive delay.
Purpose of the Study:
- To analyze treatment outcomes for craniosynostosis in pediatric patients.
- To evaluate surgical techniques and patient demographics.
- To understand the impact of surgical intervention on skull development.
Main Methods:
- Retrospective analysis of 71 children treated between June 2015 and September 2020.
- Data collected included affected sutures, syndromic conditions, hydrocephalus, age at surgery, and surgical techniques.
- Surgical procedures analyzed: frontoorbital advancement, biparietal remodelling, and total cranial vault remodelling.
Main Results:
- Sagittal synostosis was most common (54.9%), followed by metopic (25.3%) and unicoronal (14.0%).
- 7.0% of cases were syndromic; multiple sutures affected in 2.8%.
- Median age at surgery was 12.8 months, with a median follow-up of 31 months.
Conclusions:
- Surgical intervention is crucial for treating craniosynostosis.
- A multidisciplinary team approach is essential for optimal outcomes.
- The primary goal of surgery is to allow normal brain development by releasing restrictive skull growth.
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