Secondary Coronal Synostosis After Early Surgery for Sagittal Craniosynostosis: Implications for Cranial Growth
| Autor: | Per Enblad, Daniel Nowinski, Johan Nysjö, Jesper Unander-Scharin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cranial growth Cephalometry 03 medical and health sciences Early surgery Craniosynostoses 0302 clinical medicine Growth restriction Medicine Humans In patient 030223 otorhinolaryngology integumentary system business.industry Skull 030206 dentistry General Medicine Cranial Sutures medicine.anatomical_structure Brain growth nervous system Otorhinolaryngology Sagittal craniosynostosis Coronal synostosis Surgery Radiology business Tomography X-Ray Computed tissues Craniotomy |
| Zdroj: | The Journal of craniofacial surgery. 32(1) |
| ISSN: | 1536-3732 |
| Popis: | Secondary Coronal Synostosis (SCS) in patients operated for non-syndromic Sagittal Craniosynostosis is a postoperative phenomenon with unclear implications. The aim of this study was to investigate whether SCS is a negative or a benign occurrence in the postoperative course. The authors hypothesized that SCS is related to reduced cranial growth and intracranial hypertension. Thirty-one patients operated for SC at an early age with the H-craniectomy technique were included in the study. Associations between SCS and cranial shape, growth, and signs of intracranial hypertension were analyzed. Intracranial volume distribution was assessed by measuring partial intracranial volumes defined by skull base landmarks. A total of 12/31 patients developed SCS during the postoperative course. The presence of SCS was associated with a higher prevalence of gyral impressions and a larger normalization of Cranial Index due to less growth in the anteroposterior plane. The SCS group had a smaller postoperative intracranial volume due to less posterior intracranial volume as well as less growth in head circumference. Whether this is a growth restriction caused by the SCS or a secondary effect of less primary brain growth remains to be determined. However, the correlation between SCS, less cranial growth and gyral impressions does imply that SCS should be taken into consideration during clinical follow-up as a potentially adverse event. |
| Databáze: | OpenAIRE |
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