The Management of Nonsyndromic, Isolated Sagittal Synostosis

The Journal of Craniofacial Surgery
Shaheel ChummunDavid J David

Abstract

Isolated sagittal synostosis is the commonest form of craniosynostosis. The reasons for surgery are to normalize the head shape and to increase the cranial volume, thus reducing the risk of raised intracranial pressure and allowing for normal brain development. It has been suggested that sagittal synostosis may impair neuropsychological development. This systematic review appraised the literature on the management of sagittal synostosis. A literature search was performed with the assistance of a professional librarian. Studies selected had to satisfy the criteria set by PICO (patients, intervention, comparison, and outcome). Cranial index and neuropsychological outcome were used as outcome measures. MINORS was used to assess the methodological quality of the selected articles. A score of 75% was deemed to be of satisfactory quality, and the quality of the evidence from the selected studies was graded using the GRADE system. One hundred forty-eight articles were initially identified. Only 6 articles fulfilled the PICO criteria and scored a minimum of 75% on MINORS. Four studies compared 1 technique to another with documented cranial indices. Two studies compared 1 group to another and assessed the neuropsychological development....Continue Reading

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Citations

May 20, 2017·Journal of Neurosurgery. Pediatrics·Victoria KutaMichael Bezuhly
Feb 23, 2019·Plastic and Reconstructive Surgery·Marizela KljajićLars Kölby
Mar 10, 2020·The Journal of Craniofacial Surgery·Sultan Z Al-ShaqsiJohn Phillips
Jun 14, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Rosalinda CalandrelliCesare Colosimo
May 28, 2017·International Journal of Computer Assisted Radiology and Surgery·Naiara Rodriguez-FlorezSilvia Schievano
May 27, 2021·Plastic and Reconstructive Surgery. Global Open·Christopher D HughesIngrid M Ganske

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