Outcomes of Endoscopic Versus Open Spring Assisted Surgery for Sagittal Craniosynostosis
| Autor: | Lisa R. David, Elizabeth S. Owens, Lauren Blaha, Kyle S. Gabrick, Daniel E. Couture, Jungwon G. Park, Christopher M. Runyan, Robert K Townsend |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Endoscope Surgical Equipment 03 medical and health sciences Craniosynostoses 0302 clinical medicine Postoperative Complications Chart review Medicine Humans In patient 030223 otorhinolaryngology Retrospective Studies business.industry Infant 030206 dentistry General Medicine Perioperative Plastic Surgery Procedures Surgery Treatment Outcome Otorhinolaryngology Neuroendoscopy Sagittal craniosynostosis Operative time business Craniotomy |
| Zdroj: | The Journal of craniofacial surgery. 31(7) |
| ISSN: | 1536-3732 |
| Popis: | Spring-assisted surgery (SAS) has been shown to be an effective technique for correction of isolated sagittal craniosynostosis in patients less than 6 months of age. At their institution, the authors adopted a minimally invasive technique in 2010, using a shorter incision and an endoscope. A retrospective chart review of 101 patients with isolated, nonsyndromic, sagittal craniosynostosis, who underwent SAS, was performed in order to compare perioperative and clinical outcomes of the open (n = 51) and minimally-invasive (n = 50) approaches. Surgeries were performed by 2 neurosurgeons and 3 plastic surgeons, between 2005 and 2018. The pre and postoperative cephalic indices were not significantly different in both groups. Minimally-invasive spring placement required a longer operative time than the open approach, with the mean minimally-invasive operative time at 65 minutes, compared to 53 minutes (P < 0.0001). Spring removal operative time was not significantly different, with the minimally-invasive operative time at 31 minutes versus 29 minutes (P = 0.48). There were no significant differences in major or minor complications when comparing the open and minimally-invasive approaches. In conclusion, both the open and the minimally-invasive SAS techniques are effective for early correction of isolated sagittal craniosynostosis, although the minimally-invasive approach requires a longer operative time for spring placement. |
| Databáze: | OpenAIRE |
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