Preoperative Frontal and Parietal Bone Thickness Assessment to Predict Blood Loss and Transfusion During Extended Suturectomy for Isolated Sagittal Craniosynostosis.
| Autor: | Grove AM; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix Children's Center for Cleft and Craniofacial Care, Phoenix, AZ, USA., Kirsch HM; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix Children's Center for Cleft and Craniofacial Care, Phoenix, AZ, USA., Kurnik NM; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix Children's Center for Cleft and Craniofacial Care, Phoenix, AZ, USA., Bristol RE; Division of Pediatric Neurosurgery, Department of Surgery, Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, AZ, USA., Sitzman TJ; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix Children's Center for Cleft and Craniofacial Care, Phoenix, AZ, USA., Pfeifer C; Department of Radiology, Phoenix Children's Hospital, Phoenix, AZ, USA., Singh DJ; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix Children's Center for Cleft and Craniofacial Care, Phoenix, AZ, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2025 Jan; Vol. 62 (1), pp. 131-138. Date of Electronic Publication: 2023 Sep 14. |
| DOI: | 10.1177/10556656231202840 |
| Abstrakt: | Objective: To predict the morbidity of sagittal suturectomy using preoperative computer tomographic measurement of frontal and parietal bone thickness in osteotomy sites. Design: Retrospective analysis. Setting: Tertiary children's hospital. Patients: Fifty infants with nonsyndromic, isolated sagittal craniosynostosis who underwent extended sagittal suturectomy from 2015-2022. Methods: Mean thickness of the frontal and parietal bone in regions of osteotomies were determined for each patient from preoperative CT images obtained within 30 days prior to suturectomy. The relationship between bone thickness (mm) and estimated blood loss (mL) was evaluated using Spearman's correlation and a multivariable model that adjusted for patient weight and surgery duration. The association between bone thickness and perioperative blood transfusion was evaluated using a multivariable logistic model controlling for patient weight and surgery duration. Main Outcome Measures: Estimated blood loss, perioperative blood transfusion. Results: Frontal and parietal bone thickness in the region of osteotomies were positively correlated with estimated blood loss (p < 0.01). After adjusting for patient weight and duration of operation, both parietal and frontal bone thickness were associated with intraoperative blood loss (R 2 = 0.292, p = 0.002 and R 2 = 0.216, p = 0.026). Thicker frontal and parietal bone in the line of osteotomies resulted in significantly higher odds of blood transfusion. Bone thickness in the line of parietal osteotomies was 76% accurate at identifying patients who would require blood transfusion (p = 0.004). Conclusions: Frontal and parietal bone thickness in the line of osteotomies is associated with blood loss and perioperative blood transfusion for sagittal suturectomy operations. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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