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Surgical treatment of premature sagittal synostosis
1Division of Neurosurgery, Faculty of Medicine Federal University of Minas Geraise (UFMG), Hosptial São Francisco de Assis, Belo Horizonte, Brazil.
Insights
This study reports on 50 children treated for premature sagittal synostosis using wide biparietal craniectomy. The effective surgical technique resulted in good aesthetic outcomes and normalized skull measurements with no complications.
Area of Science:
- Pediatric Neurosurgery
- Craniofacial Surgery
Background:
- Premature sagittal synostosis is a condition affecting skull development in children.
- Early surgical intervention is crucial for correcting skull deformities.
Purpose of the Study:
- To evaluate the effectiveness of wide biparietal craniectomy in treating premature sagittal synostosis.
- To assess surgical outcomes, complications, and long-term results.
Main Methods:
- A series of 50 consecutive children with premature sagittal synostosis underwent surgical treatment.
- The primary surgical technique employed was wide biparietal craniectomy.
- Pre-operative assessments included head shape, skull measurements, and radiological findings.
Main Results:
- All 50 children were treated surgically, with 38 operated on before six months of age.
- Wide biparietal craniectomy demonstrated effectiveness with good aesthetic results and no observed complications or mortality.
- Post-operative skull measurements normalized within the first year after treatment.
Conclusions:
- Wide biparietal craniectomy is a highly effective surgical procedure for treating premature sagittal synostosis.
- The technique offers excellent aesthetic outcomes and functional recovery with minimal risk.
- Early surgical intervention using this method leads to normalized skull morphology.
Abstract:
A series of 50 consecutive children with premature sagittal synostosis is reported. All were treated surgically; 43 were male, 47 were leukodermic and two are siblings. In the pre-operative examination, the head shape, skull measurements and radiologic findings were evaluated; 38 children were operated on before six months of age and 12 of them, between six and 12 months of age. The surgical technique used was a wide biparietal craniectomy. Blood transfusions were occasional, being necessary for only six (12%) children. The children were admitted at the day of surgery and discharged between the second and third post-operative day. No local or general complications were observed and no one died. The aesthetic result was considered good. The altered skull measurements before surgery reached normalization as far as the end of the first year after the treatment. It may be concluded that wide biparietal craniectomy is a procedure of great effectiveness in the treatment of the premature fusions of the sagittal suture.