Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Long-term outcome after sagittal synostosis operations

A L Albright1, R B Towbin, B L Shultz

  • 1Department of Neurosurgery, Children's Hospital of Pittsburgh, PA 15213, USA.

Pediatric Neurosurgery
|August 1, 1996
PubMed
Summary

Early surgical correction of sagittal synostosis in children leads to acceptable long-term cosmetic outcomes. Most children experienced normal or mildly abnormal head appearance, with few reporting headaches.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevention of type 2 diabetes: the strategic approach for implementation.

Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme·2011
Same author

Bilateral complete labyrinthine aplasia with bilateral internal carotid artery aplasia, developmental delay, and gaze abnormalities: a presumptive case of a rare HOXA1 mutation syndrome.

AJNR. American journal of neuroradiology·2010
Same author

Improved delineation of ventricular shunt catheters using fast steady-state gradient recalled-echo sequences in a rapid brain MR imaging protocol in nonsedated pediatric patients.

AJNR. American journal of neuroradiology·2009
Same author

Incidence and management of subdural hematoma/hygroma with variable- and fixed-pressure differential valves: a randomized, controlled study of programmable compared with conventional valves.

Neurosurgical focus·2006
Same author

Imaging and intervention in the gastrointestinal tract in children.

Gastroenterology clinics of North America·2002
Same author

Endovascular management of a basilar artery false aneurysm secondary to endoscopic third ventriculostomy: case report.

Neurosurgery·2002

Area of Science:

  • Neurosurgery
  • Pediatric Plastic Surgery
  • Craniofacial Surgery

Background:

  • Sagittal synostosis is a common premature fusion of the sagittal suture, leading to characteristic head shape deformities.
  • Surgical intervention aims to correct the deformity and allow for normal brain growth.
  • Long-term outcomes regarding cosmetic appearance and potential complications are crucial for evaluating surgical success.

Purpose of the Study:

  • To evaluate the long-term cosmetic and radiological outcomes in children operated for sagittal synostosis.
  • To assess the incidence of headaches and other complications post-surgery.
  • To determine the effectiveness of different surgical techniques for sagittal synostosis.

Main Methods:

  • A retrospective study of 27 children operated for sagittal synostosis 5-10 years prior.

Related Experiment Videos

  • Evaluation of cosmetic appearance by independent examiners and parents.
  • Analysis of skull radiographs for abnormalities and beaten copper markings.
  • Measurement of cephalic index and assessment of headache prevalence.

    • Main Results:

    • 93% of children had normal or mildly abnormal appearance, with unacceptable outcomes linked to late surgery or syndromes.
    • Skull radiographs were mostly normal or mildly abnormal; beaten copper markings were present in 14/27 cases without headache correlation.
    • The mean cephalic index was 70 (normal 81), indicating persistent head shape changes.
    • Headaches were reported in 7 children, with 3 experiencing migrainous headaches.

    Conclusions:

    • Sagittal reconstruction provides acceptable cosmetic results 5-10 years postoperatively for children operated before one year of age without syndromes.
    • While most children achieve good cosmetic outcomes, persistent cephalic index abnormalities and occasional headaches warrant consideration.
    • The study suggests early intervention is key, but the sample size limits definitive conclusions on long-term follow-up needs.