Current techniques and protocols in the surgical management of scaphocephaly in young infants

The Journal of Craniofacial Surgery
Federico Di RoccoEric Arnaud

Abstract

Many techniques and protocols are currently used in the treatment of scaphocephaly worldwide, including total calvarial remodeling and minimally invasive strip craniectomies. This study reviews current techniques and protocols used in young infants (aged ≤ 6 months) as well as the outcomes in terms of reoperation rates. A short questionnaire was designed including questions about the preferred surgical techniques, transfusion protocols, and reoperation rates. Surgeons from the International Society of Craniofacial Surgery and the International Society for Pediatric Neurosurgery were requested to respond to this questionnaire online or by e-mail. Responses during a 2-week period were collated and analyzed using Fisher exact test. A total of 91 surgeons responded from the craniofacial centers around the world, of which 93.4% completed the questionnaire. Most respondents were from North America and Europe (35% and 20%, respectively). The operative volume was less than 15 cases per year in 56%, and the bicoronal skin incision was most commonly used (81%). Postoperative drainage was not performed by 55% but was statistically more common with use of the bicoronal incision (P = 0.029). Of the respondents, 66% used calvarial remodeling...Continue Reading

References

Sep 19, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Luca MassimiConcezio Di Rocco
Apr 10, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Federico Di RoccoDominique Renier
Jul 3, 2009·Journal of Neurosurgery. Pediatrics·Federico Di RoccoDominique Renier
Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthieu VinchonPatrick Dhellemmes
Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Federico Di RoccoDaniel Marchac
Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Marie-Lise C van Veelen, Irene M J Mathijssen

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Citations

Jun 29, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Michael EngelChristian Freudlsperger
May 26, 2017·Plastic and Reconstructive Surgery·Thomas D DobbsDavid Johnson
May 27, 2017·The Journal of Craniofacial Surgery·Asra HashmiArlene Rozzelle
Nov 28, 2017·Plastic and Reconstructive Surgery·Erik M WolfswinkelMark M Urata
Jan 31, 2018·The Journal of Craniofacial Surgery·James SunJesse A Taylor
Dec 7, 2018·Surgical Neurology International·Francesca NicoliniFederico Di Rocco
Feb 23, 2019·Plastic and Reconstructive Surgery·Marizela KljajićLars Kölby
Jan 26, 2016·Annals of Plastic Surgery·Andrew SimpsonMichael Bezuhly
Aug 6, 2015·The Journal of Craniofacial Surgery·Michael AlperovichDavid A Staffenberg
Feb 24, 2021·Plastic and Reconstructive Surgery·Michael AlperovichJohn A Persing

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