Minimally Invasive Non-Endoscopic Correction for Sagittal Craniosynostosis in Children Aged Below 6 Months

Authors

  • Ayman Farghal Neurosurgery Children Unit, Cairo University, Abu El Reesh Japanese Hospital, Cairo, Egypt
  • Khaled Bassim Neurosurgery Children Unit, Cairo University, Abu El Reesh Japanese Hospital, Cairo, Egypt
  • Amr Mostafa Elkatatny Neurosurgery Children Unit

DOI:

https://doi.org/10.3889/oamjms.2021.7513

Keywords:

Biparietal diameter, Cephalic index, Internal helmet suture, Internal helmet technique, Occipitofrontal diameter, Sagittal craniosynostosis

Abstract

AIM: Object of this study is to determine effectiveness of this procedure used in this study which is minimally invasive non endoscopic correction for sagittal craniosynostosis in children below 6 months.

METHODS: A prospective study was done in Neurosurgery children unit, Abu Elreash Japanese children hospital, Cairo university, Egypt, for patients with non syndromatic sagittal craniosynostosis. The variables analyzed; OFD, BPD, CI pre. & postoperative, age of patients at time of surgery, sex, duration of surgery and length of hospital stay.

RESULTS: Our results shows statistically significant difference between pre-operative with post-operative after 2 days, post-operative follow-up, and follow-up after 1 year for OFD, BPD and CI.

CONCLUSIONS: Internal helmet technique used in correction of sagittal synostosis in children below 6 months old giving good cosmetic results with the following advantages, (1) short surgery time, (2) small wound, (3) no much blood loss, (4) immediate good cosmetic result, (5) no need to use external devices which reduces the cost, family load, and child suffering, and (6) no need for long-term follow-up.

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References

David LR, Wilson JA, Watson NE, Argenta LC. Cerebral perfusion defects secondary to simple craniosynostosis. J Craniofac Surg. 1996;7(3):177-85. http://doi.org/10.1097/00001665-199605000-00003 PMid:9086882 DOI: https://doi.org/10.1097/00001665-199605000-00003

Hunter AG, Rudd NL. Craniosynostosis. I. Sagittal synostosis; its genetics and associated clinical findings in 214 patients who lacked involvement of the coronal suture(s). Teratology. 1976;14(2):185-93. http://doi.org/10.1002/tera.1420140209 PMid:982314 DOI: https://doi.org/10.1002/tera.1420140209

Lannelongue M. De la craniectomie dans la microcephalie. C R Seances Acad Sci. 1890;110:1382.

Shillito J, Matson DD. Craniosynostosis: A review of 519 surgical patients. Pediatrics. 1968;41(4):829-53. PMid:5643989

Tamburrini G, Caldarelli M, Massimi L, Santini P, Di Rocco C. Intracranial pressure monitoring in children with single suture and complex craniosynostosis: A review. Childs Nerv Syst. 2005;21(10):913-21. http://doi.org/10.1007/s00381-004-1117-x PMid:15871027 DOI: https://doi.org/10.1007/s00381-004-1117-x

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Published

2021-11-19

How to Cite

1.
Farghal A, Bassim K, Mostafa Elkatatny A. Minimally Invasive Non-Endoscopic Correction for Sagittal Craniosynostosis in Children Aged Below 6 Months. Open Access Maced J Med Sci [Internet]. 2021 Nov. 19 [cited 2023 May 31];9(D):294-9. Available from: https://oamjms.eu/index.php/mjms/article/view/7513

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Section

Maxillofacial Surgery

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