Psychosocial Impact of Coronal Access Scars in Craniosynostosis Procedures on Patients and Their Families
| Autor: | Helen Care, Louise Dalton, David W. Johnson, Steven A. Wall, Patrick Kennedy-Williams, Abigail V. Shaw |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Parents
medicine.medical_specialty Sutures business.industry General surgery Scars General Medicine Multidisciplinary team medicine.disease Craniosynostosis Cicatrix Craniosynostoses Otorhinolaryngology Coronal plane medicine Humans Surgery Postoperative scars Parental perception Postoperative Period Craniofacial medicine.symptom business Child Psychosocial |
| Zdroj: | The Journal of craniofacial surgery. 33(1) |
| ISSN: | 1536-3732 |
| Popis: | The coronal incision is the mainstay for access in craniosynostosis surgery. Scarring is a common concern of parents whose children are offered an open procedure. To the author's knowledge, there are no previous studies looking at the psychosocial impact of scarring from coronal access incisions for craniosynostosis procedures. The author's study focused on patients undergoing procedures for nonsyndromic single-suture craniosynostosis.This study comprised 3 parts: worldwide survey regarding coronal access incisions for craniosynostosis surgery, questionnaire to determine the psychosocial impact of the scars on patients and their parents, and measurement of postoperative scars in craniosynostosis patients.Survey responses from 46 craniofacial centers worldwide revealed a zig-zag was the most commonly utilized incision. Seventy-two percent of survey responses reported problems with postoperative stretching of the scar; only 20% of centers reported formal data collection of whether families were affected by this.Psychology questionnaires revealed that the majority of patients and their parents were not bothered by the zig-zag coronal scars. Patient felt the scars were less noticeable than the parents. Parent perceptions improved with age and time postsurgery.Coronal access scars following craniosynostosis surgery appear to stretch more in the supra-auricular region compared with the midline.These findings are useful for the craniofacial multidisciplinary team to inform parents contemplating surgery and who may be concerned about the impact of the scar in the future. |
| Databáze: | OpenAIRE |
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