Efficacy of endoscopic strip craniectomy for sagittal synostosis
Objective To explore the clinical effect of endoscopic strip craniectomy with orthotic skull helmet for sagittal synostosis. Methods A total of 20 children with sagittal synostosis admitted to Shanghai Children's Hospital from June 2019 to June 2022 were included. All of them underwent endoscop...
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2023-07-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/2722 |
| _version_ | 1827859646132518912 |
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| author | WEI Min ZHAN Qi⁃jia JIANG Wen⁃bin LI Sen LIU Chen XIAO Bo |
| author_facet | WEI Min ZHAN Qi⁃jia JIANG Wen⁃bin LI Sen LIU Chen XIAO Bo |
| author_sort | WEI Min |
| collection | DOAJ |
| description | Objective To explore the clinical effect of endoscopic strip craniectomy with orthotic skull helmet for sagittal synostosis. Methods A total of 20 children with sagittal synostosis admitted to Shanghai Children's Hospital from June 2019 to June 2022 were included. All of them underwent endoscopic strip craniectomy and customized orthotic skull helmet assisted treatment after the surgery. Cephalic index (CI) and point of maximum width (PMW) were calculated by measuring transverse diameter of skull, anterior and posterior diameter of skull, and distance between eyebrow and transverse diameter of skull. Results All 20 sagittal synostosis children successfully completed the surgery, the success rate of the surgery was 100%, and no indwelling drainage tube was placed in the surgical area. There were no postoperative complications such as bone flap displacement, cerebrospinal fluid leakage, secondary infection, nerve function defect caused by skull osteotomy and secondary injury caused by bone fragments ionization. At 6 months after sugery and last follow⁃up, 19 children showed a favorable prognosis in terms of cranial shape, while one 2⁃month⁃old female child had an unfavorable head shape prognosis (CI was 72% at 6 months after sugery, and 74% at the last follow⁃up). There were statistically significant differences between CI (F = 230.542, P = 0.000) and PMW (F = 112.166, P = 0.000) before and after surgery. Among them, CI (t = ⁃ 14.231, P = 0.000; t = ⁃ 21.041, P = 0.000) and PMW (t = ⁃ 8.068, P = 0.000; t = ⁃ 16.109, P = 0.000) at 6 month after surgery and last follow⁃up were higher than those before surgery. CI (t = ⁃ 6.810, P = 0.000) and PMW (t = ⁃ 8.040, P = 0.000) at last follow⁃up were higher than those at 6 month after surgery. Conclusions Endoscopic strip craniectomy with orthotic skull helmet can improve the cranial shape of children with sagittal synostosis and is considered safe and effective. |
| first_indexed | 2024-03-12T13:11:21Z |
| format | Article |
| id | doaj.art-79fde88c4a434f6bacfc87995c96d614 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-03-12T13:11:21Z |
| publishDate | 2023-07-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-79fde88c4a434f6bacfc87995c96d6142023-08-28T01:21:28ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312023-07-0123762162610.3969/j.issn.1672⁃6731.2023.07.0102676Efficacy of endoscopic strip craniectomy for sagittal synostosisWEI Min0ZHAN Qi⁃jia1JIANG Wen⁃bin2LI Sen3LIU Chen4XIAO Bo5Department of Neurosurgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200062, ChinaDepartment of Neurosurgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200062, ChinaDepartment of Neurosurgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200062, ChinaDepartment of Neurosurgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200062, ChinaDepartment of Neurosurgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200062, ChinaDepartment of Neurosurgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200062, ChinaObjective To explore the clinical effect of endoscopic strip craniectomy with orthotic skull helmet for sagittal synostosis. Methods A total of 20 children with sagittal synostosis admitted to Shanghai Children's Hospital from June 2019 to June 2022 were included. All of them underwent endoscopic strip craniectomy and customized orthotic skull helmet assisted treatment after the surgery. Cephalic index (CI) and point of maximum width (PMW) were calculated by measuring transverse diameter of skull, anterior and posterior diameter of skull, and distance between eyebrow and transverse diameter of skull. Results All 20 sagittal synostosis children successfully completed the surgery, the success rate of the surgery was 100%, and no indwelling drainage tube was placed in the surgical area. There were no postoperative complications such as bone flap displacement, cerebrospinal fluid leakage, secondary infection, nerve function defect caused by skull osteotomy and secondary injury caused by bone fragments ionization. At 6 months after sugery and last follow⁃up, 19 children showed a favorable prognosis in terms of cranial shape, while one 2⁃month⁃old female child had an unfavorable head shape prognosis (CI was 72% at 6 months after sugery, and 74% at the last follow⁃up). There were statistically significant differences between CI (F = 230.542, P = 0.000) and PMW (F = 112.166, P = 0.000) before and after surgery. Among them, CI (t = ⁃ 14.231, P = 0.000; t = ⁃ 21.041, P = 0.000) and PMW (t = ⁃ 8.068, P = 0.000; t = ⁃ 16.109, P = 0.000) at 6 month after surgery and last follow⁃up were higher than those before surgery. CI (t = ⁃ 6.810, P = 0.000) and PMW (t = ⁃ 8.040, P = 0.000) at last follow⁃up were higher than those at 6 month after surgery. Conclusions Endoscopic strip craniectomy with orthotic skull helmet can improve the cranial shape of children with sagittal synostosis and is considered safe and effective.http://www.cjcnn.org/index.php/cjcnn/article/view/2722craniosynostosesneurosurgical proceduresendoscopyorthopedic fixation devicesinfant |
| spellingShingle | WEI Min ZHAN Qi⁃jia JIANG Wen⁃bin LI Sen LIU Chen XIAO Bo Efficacy of endoscopic strip craniectomy for sagittal synostosis Chinese Journal of Contemporary Neurology and Neurosurgery craniosynostoses neurosurgical procedures endoscopy orthopedic fixation devices infant |
| title | Efficacy of endoscopic strip craniectomy for sagittal synostosis |
| title_full | Efficacy of endoscopic strip craniectomy for sagittal synostosis |
| title_fullStr | Efficacy of endoscopic strip craniectomy for sagittal synostosis |
| title_full_unstemmed | Efficacy of endoscopic strip craniectomy for sagittal synostosis |
| title_short | Efficacy of endoscopic strip craniectomy for sagittal synostosis |
| title_sort | efficacy of endoscopic strip craniectomy for sagittal synostosis |
| topic | craniosynostoses neurosurgical procedures endoscopy orthopedic fixation devices infant |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/2722 |
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