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Surgical correction of severe scaphocephalic deformities
F D Burstein1, R J Hudgins, S R Cohen
1Department of Plastic Surgery, Scottish Rite Children's Medical Center, Atlanta, Georgia.
The Journal of Craniofacial Surgery
|September 1, 1994
Summary
Total calvarial vault reshaping effectively corrects severe sagittal synostosis skull deformities. This surgical technique offers excellent aesthetic outcomes for patients with scaphocephaly.
Area of Science:
- Neurosurgery
- Pediatric Plastic Surgery
- Craniofacial Surgery
Background:
- Sagittal synostosis can cause severe skull deformities like scaphocephaly.
- Conventional treatments may be insufficient for complex or late-stage cases.
- Total calvarial vault reconstruction offers a comprehensive approach.
Purpose of the Study:
- To present a large series of total calvarial vault reshaping for severe sagittal synostosis.
- To evaluate the efficacy and safety of this reconstructive technique.
- To assess aesthetic outcomes in pediatric patients.
Main Methods:
- Eighteen consecutive patients with severe scaphocephaly underwent total calvarial vault reshaping.
- Patients ranged from 3 months to 5 years old.
- Surgical procedures involved transfusions, averaging 6-hour operative times, and a 4-7 day hospital stay.
Main Results:
- No perioperative mortality was observed.
- Transient syndrome of inappropriate antidiuretic hormone secretion occurred in two patients.
- Excellent aesthetic results were achieved in all 18 patients with up to 36 months follow-up.
Conclusions:
- Total calvarial vault reshaping is a safe and effective treatment for severe sagittal synostosis.
- The technique provides excellent cosmetic results for scaphocephalic deformities.
- This study supports calvarial vault reshaping as a primary surgical option.