Optimal duration of postoperative helmet therapy following endoscopic strip craniectomy for sagittal craniosynostosis

Journal of Neurosurgery. Pediatrics
Rajiv R IyerEdward S Ahn

Abstract

OBJECTIVEMany infants with sagittal craniosynostosis undergo effective surgical correction with endoscopic strip craniectomy (ESC) and postoperative helmet therapy (PHT). While PHT is essential to achieving optimal cosmesis following ESC, there has been little comprehensive analysis of the ideal PHT duration needed to attain this goal.METHODSThe authors retrospectively reviewed the charts of infants undergoing ESC and PHT for sagittal synostosis at our institution between 2008 and 2015. Data collected included age at surgery, follow-up duration, and PHT duration. Cephalic index (CI) was evaluated preoperatively (CIpre), at its peak level (CImax), at termination of helmet therapy (CIoff), and at last follow-up (CIfinal). A multivariate regression analysis was performed to determine factors influencing CIfinal.RESULTSThirty-one patients (27 male, 4 female) were treated in the studied time period. The median age at surgery was 2.7 months (range 1.6 to 3.2) and the median duration of PHT was 10.4 months (range 8.4 to 14.4). The mean CImax was 0.83 (SD 0.01), which was attained an average of 8.4 months (SD 1.2) following PHT initiation. At last follow-up, there was an average retraction of CIfinal among all patients to 0.78 (SD 0.01...Continue Reading

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Citations

Feb 24, 2021·Plastic and Reconstructive Surgery·Aishwarya RamamurthiChristopher A Derderian
Apr 16, 2021·Prosthetics and Orthotics International·Zahra TaheriHassan Reza Mohammadi
Oct 2, 2021·Journal of Neurosurgery. Pediatrics·Nathan K LeclairMarkus J Bookland
Jan 14, 2022·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Mustafa SakarAdnan Dağçınar

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