| Popis: |
Craniosynostosis is a congenital malformation involving premature fusion of one or more skull sutures restricting normal growth of the cranium. The sequelae of premature cranial suture fusion are not only cosmetic and may cause elevated intracranial pressure in children. Treatment for craniosynostosis is surgical, and the perioperative management often entails a multidisciplinary team consisting of neurosurgery, plastic surgery, anesthesiology, and critical care. Although the optimal age of repair remains controversial, it is suggested that intervention is best performed prior to 12 months of age. The anesthetic challenges for these complex surgeries include difficult airway management, significant blood loss, long surgical duration, and pain control in children of young age. |
