Minimally invasive strip craniectomy for sagittal synostosis

The Journal of Craniofacial Surgery
Barbu GocimanFaizi Siddiqi

Abstract

The most common approaches used today for the correction of sagittal synostosis involve large craniectomies and extensive cranial vault remodeling. Although these techniques ultimately yield very good cosmetic results, they have significant drawbacks. They are lengthy, expensive, associated with significant blood loss, universally require transfusions, and often result in prolonged hospitalization.We present here our 5-year experience with correction of sagittal synostosis using the recently described minimally invasive strip craniectomy followed by postoperative cranial vault helmet molding. During this period, we treated a total of 97 children with nonsyndromic single-suture synostosis. The first 46 of 67 children treated for sagittal synostosis had at least 1 year of postoperative follow-up and were included in the analysis. There were 33 boys and 13 girls. Patients' mean age at surgery was 3.1 months, and the mean weight was 6.1 kg. The mean operative time was 75 minutes. The estimated blood loss during the procedure was 56 mL. Eight patients received blood transfusions during surgery (17.4%) and 3 patients received after surgery (6.5%). There were no significant postoperative complications. The mean hospitalization was 2.2...Continue Reading

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Citations

May 30, 2013·The Journal of Craniofacial Surgery·Barbu GocimanFaizi Siddiqi
Nov 21, 2015·Journal of Neurosurgery. Pediatrics·Rowland H HanMatthew D Smyth
Feb 18, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Christopher M BonfieldIan F Pollack
Oct 13, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Rajiv R IyerEdward S Ahn
Apr 1, 2017·Journal of Neurosurgery. Pediatrics·Pang-Yun ChouChristopher A Derderian
May 27, 2017·The Journal of Craniofacial Surgery·Asra HashmiArlene Rozzelle
Oct 13, 2017·The Journal of Craniofacial Surgery·Catharine B GarlandJesse A Goldstein
Feb 27, 2019·The Journal of Craniofacial Surgery·Fouad ChouairiMichael Alperovich
Oct 17, 2017·Plastic and Reconstructive Surgery·Marie-Lise C van VeelenIrene M Mathijssen
Jul 10, 2014·The Journal of Craniofacial Surgery·John F TeichgraeberJames J Xia
Jun 17, 2015·The Journal of Craniofacial Surgery·Patrick A GeretyJesse A Taylor
Jan 31, 2016·The Journal of Craniofacial Surgery·Shaheel ChummunDavid J David
Jan 9, 2015·The Journal of Craniofacial Surgery·Rahel G GhenbotAlbert S Woo
Aug 25, 2015·Plastic and Reconstructive Surgery. Global Open·Dana JohnsBarbu Gociman
Feb 24, 2021·Plastic and Reconstructive Surgery·Aishwarya RamamurthiChristopher A Derderian

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