PMID: 11324885Apr 28, 2001Paper

Mental development after modified pi procedure: dynamic cranioplasty for sagittal synostosis

Annals of Plastic Surgery
F GewalliC G Lauritzen

Abstract

A prospective developmental assessment was performed on 26 patients operated on with dynamic cranioplasty for sagittal synostosis. Because this technique entails the application of compressive force, it was of great concern to assess the effect of surgery on development and mental status. The surgical technique used was a modified pi procedure. Perioperative variables were recorded. Six patients underwent preoperative intracranial pressure (ICP) measurements. To evaluate objectively the developmental outcome, the Griffiths' Mental Development Scales was used for analysis before and after surgery. A parental questionnaire was used for subjective outcome measurement. Preoperative ICP recordings during sleep ranged from 12.8 to 22.8 mmHg (mean, 16.1 mmHg). The mean age at the time for surgery was 6.9 months (range, 4-16 months; standard deviation [SD], 2.32 months). The surgical technique included shortening of the anteroposterior diameter of the skull by a mean of 16.6 mm. The mean global development quotient (GDQ) preoperatively was 104.5 (range, 82-144; SD, 12.4) and the mean GDQ postoperatively was 101.4 (range, 62-129; SD, 13.6). Mean age at follow-up was 16.3 months (range, 9-40 months; SD, 4.04 months). There was no signifi...Continue Reading

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Citations

Dec 23, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Kathleen A Kapp-SimonTadanori Tomita
Sep 28, 2007·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Karen TothMatthew L Speltz
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Sep 1, 2007·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Salvador Ruiz-CorreaMatthew L Speltz
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Jan 17, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Annette C Da CostaJohn G Meara
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Dec 31, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Tulsi RoyRussell R Reid

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