Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgery
Introduction: Nonsyndromic craniosynostosis (NC) is more commonly encountered than syndromic cases in pediatric craniofacial surgery. Affected children display characteristic phenotypes according to the suture or sutures involved. This study aims to report a single surgeon experience with surgery fo...
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| Format: | Article |
| Language: | English |
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Brazilian Society for Pediatric Neurosurgery
2023-01-01
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| Series: | Archives of Pediatric Neurosurgery |
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| Online Access: | https://www.archpedneurosurg.com.br/sbnped2019/article/view/182 |
| _version_ | 1797663370252386304 |
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| author | Ricardo Santos de Oliveira |
| author_facet | Ricardo Santos de Oliveira |
| author_sort | Ricardo Santos de Oliveira |
| collection | DOAJ |
| description | Introduction: Nonsyndromic craniosynostosis (NC) is more commonly encountered than syndromic cases in pediatric craniofacial surgery. Affected children display characteristic phenotypes according to the suture or sutures involved. This study aims to report a single surgeon experience with surgery for primary craniosynostosis correction.
Methods: A retrospective review was carried out including all cases performed by the same surgeon between 2001 and 2021. The clinical data of 356 patients (371 surgeries) with primary craniosynostosis that have undergone surgery were retrospectively analyzed.
Results: There were 232 (65.1%) males and 124 (34.9%) females, with most of the male preponderance occurring due to the trigonocephaly (86%) and scaphocephaly (84.5%) groups. A female predominance was observed only in brachycephaly group (64.8%). There was a statistically significant male predominance between non-syndromic versus syndromic cases (p=0.0001). The most frequent forms in non-syndromic forms were scaphocephaly in 136 (51.5%), trigonocephaly in 48 (18.1%), anterior plagiocephaly in 47 (17.8%), and brachycephaly in 35 (13.2%). A named syndrome was present in 57 (16%). Genetic syndromes presented more commonly than expected with bilateral synostosis, the Kleeblattschadel deformity, and multiple suture synostosis (p=0.001). Complications were observed in 15 (4.2%). Intraoperative hemorrhage and CSF leakage were the most common ones. Morbidity was significantly associated with monobloc fronto-facial advancement. The mean follow-up was 3.7 years (9 months to 22 years). Morphological results in NC were classified in category I in 210 (70.2%), II in 82 (27.9%), and III in 7 (1.9%) cases for NC.
Conclusions: Non-syndromic craniosynostosis can be corrected with good outcomes and relatively low morbidity and mortality. For syndromic cases a multidisciplinary team is fundamental to archieve satisfactory results. |
| first_indexed | 2024-03-11T19:13:31Z |
| format | Article |
| id | doaj.art-d5e252bca9614ea3a7ec5bba3682a31d |
| institution | Directory Open Access Journal |
| issn | 2675-3626 |
| language | English |
| last_indexed | 2024-03-11T19:13:31Z |
| publishDate | 2023-01-01 |
| publisher | Brazilian Society for Pediatric Neurosurgery |
| record_format | Article |
| series | Archives of Pediatric Neurosurgery |
| spelling | doaj.art-d5e252bca9614ea3a7ec5bba3682a31d2023-10-09T09:03:23ZengBrazilian Society for Pediatric NeurosurgeryArchives of Pediatric Neurosurgery2675-36262023-01-0151e1822022e182202210.46900/apn.v5i1.182214Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgeryRicardo Santos de Oliveira0https://orcid.org/0000-0003-0390-5553Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, BrasilIntroduction: Nonsyndromic craniosynostosis (NC) is more commonly encountered than syndromic cases in pediatric craniofacial surgery. Affected children display characteristic phenotypes according to the suture or sutures involved. This study aims to report a single surgeon experience with surgery for primary craniosynostosis correction. Methods: A retrospective review was carried out including all cases performed by the same surgeon between 2001 and 2021. The clinical data of 356 patients (371 surgeries) with primary craniosynostosis that have undergone surgery were retrospectively analyzed. Results: There were 232 (65.1%) males and 124 (34.9%) females, with most of the male preponderance occurring due to the trigonocephaly (86%) and scaphocephaly (84.5%) groups. A female predominance was observed only in brachycephaly group (64.8%). There was a statistically significant male predominance between non-syndromic versus syndromic cases (p=0.0001). The most frequent forms in non-syndromic forms were scaphocephaly in 136 (51.5%), trigonocephaly in 48 (18.1%), anterior plagiocephaly in 47 (17.8%), and brachycephaly in 35 (13.2%). A named syndrome was present in 57 (16%). Genetic syndromes presented more commonly than expected with bilateral synostosis, the Kleeblattschadel deformity, and multiple suture synostosis (p=0.001). Complications were observed in 15 (4.2%). Intraoperative hemorrhage and CSF leakage were the most common ones. Morbidity was significantly associated with monobloc fronto-facial advancement. The mean follow-up was 3.7 years (9 months to 22 years). Morphological results in NC were classified in category I in 210 (70.2%), II in 82 (27.9%), and III in 7 (1.9%) cases for NC. Conclusions: Non-syndromic craniosynostosis can be corrected with good outcomes and relatively low morbidity and mortality. For syndromic cases a multidisciplinary team is fundamental to archieve satisfactory results.https://www.archpedneurosurg.com.br/sbnped2019/article/view/182craniosynostosiscraniofacialpediatric neurosurgeryskull deformitygenetics |
| spellingShingle | Ricardo Santos de Oliveira Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgery Archives of Pediatric Neurosurgery craniosynostosis craniofacial pediatric neurosurgery skull deformity genetics |
| title | Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgery |
| title_full | Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgery |
| title_fullStr | Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgery |
| title_full_unstemmed | Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgery |
| title_short | Twenty Year review of a Single Surgeon's Experience for craniosynostosis surgery |
| title_sort | twenty year review of a single surgeon s experience for craniosynostosis surgery |
| topic | craniosynostosis craniofacial pediatric neurosurgery skull deformity genetics |
| url | https://www.archpedneurosurg.com.br/sbnped2019/article/view/182 |
| work_keys_str_mv | AT ricardosantosdeoliveira twentyyearreviewofasinglesurgeonsexperienceforcraniosynostosissurgery |