Early and long-term skull growth after surgical correction for sagittal synostosis in relation to the occurrence of papilledema

Autor: Stephanie D. C. van de Beeten, Melissa S. I. C. Kurniawan, Nathalie W. Kamst, Sjoukje E. Loudon, Irene M. J. Mathijssen, Marie-Lise C. van Veelen
Přispěvatelé: Plastic and Reconstructive Surgery and Hand Surgery, Erasmus MC other, Pulmonary Medicine, Ophthalmology, Neurosurgery
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Childs Nervous System, 39(1), 211-220. Springer-Verlag
ISSN: 1433-0350
0256-7040
Popis: Objective Stagnation of skull growth is correlated with papilledema in craniosynostosis. In this retrospective cohort study, we describe the postoperative skull growth after surgical correction for sagittal synostosis and its relation to the development of papilledema. Methods Patients with isolated sagittal synostosis at our center between 2005 and 2012 were included. Occipitofrontal circumference (OFC) was analyzed, at 3 time points (preoperative, 2 years postoperative, and last OFC measurement) and 3 phases (initial postoperative growth, long-term growth, and overall growth), and related to papilledema on fundoscopy. Results In total, 163 patients were included. The first time interval showed a decline in skull growth, with subsequent stabilization at long term. Papilledema occurred postoperatively in 10 patients. In these patients, the OFC at 2 years and at last follow-up (T3) were significantly smaller than in patients without papilledema. A larger OFC resulted in a decreased odds of developing papilledema at both postoperative time points (at T2 (OR = 0.40, p = 0.01) and at T3 (OR 0.29, p Conclusion A small OFC is correlated with the occurrence of papilledema. A decline in OFC within 2 years postoperatively is common in sagittal synostosis and is acceptable up to a value of 0.25SD. Patients with an OFC at last follow-up of less than 0.5SD are at risk for developing papilledema.
Databáze: OpenAIRE
Externí odkaz: