Minimally invasive craniectomy and postoperative cranial remolding orthotic treatment in infants with craniosynostosis: A multicenter prospective study

Autor: Zahra Taheri, Taher Babaee, Ehsan Moradi, Behnam Hajiaghaei, Hassan Reza Mohammadi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: World Neurosurgery: X, Vol 19, Iss , Pp 100207- (2023)
Druh dokumentu: article
ISSN: 2590-1397
DOI: 10.1016/j.wnsx.2023.100207
Popis: Objective: To investigate the effectiveness of minimally invasive suturectomy (MIS) with cranial remolding orthosis (CRO) for treatment of patients with single-suture craniosynostosis. Methods: In this multicenter prospective study, all patients included underwent MIS followed by postoperative CRO. The values of the cephalic index (CI) and cranial vault asymmetry index (CVAI) were measured and recorded before the surgery, at initiation of CRO, and at the cessation of CRO. The total cranial volume (TV), anterior hemisphere cranial volume (AV), and AV to TV were also acquired with a non-contact optical scanner. All patients were followed up at least until the end of the twelfth month of age. Results: A total of 38 patients were included. The average operative time including anesthesia was 95.38 minutes. The average length of hospital admission was 2.5 days. There was a statistically significant difference in CI values for the patients with sagittal craniosynostosis (p
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