Management of sagittal craniosynostosis: morphological comparison of eight surgical techniques |
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| Institution: | 1. Department of Maxillo-Facial Surgery and Plastic Surgery, Necker – Enfants Malades University Hospital, Assistance Publique – Hôpitaux de Paris, Paris 75015, France;2. Department of Mechanical Engineering, University College London, London WC1E 7JE, UK;3. Department of Neurosurgery, Craniofacial surgery unit, Necker – Enfants Malades University Hospital, Assistance Publique – Hôpitaux de Paris, Paris 75015, France;4. Department of Head and Neck Surgery for Children and Adolescents. University of Warmia and Mazury in Olsztyn. Prof. St. Popowski Regional Specialized Children''s Hospital. Ul. ?o?nierska 18a, 10-561 Olsztyn, Poland;5. Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg University, Gothenburg SE-413 45, Sweden;1. Master''s student in Orofacial Harmonization - European Face Institute, Porto, Portugal;2. Oral and Maxillofacial Surgeon, Master in Oral and Maxillofacial Surgery, PhD in Oral and Maxillofacial Sugery, Maxillofacial Program Director - European Face Institute, Porto, Portugal;1. Foundation Year 2 Doctor, Department of Otorhinolaryngology, Whipps Cross University Hospital, London, United Kingdom;2. Department of Oral and Maxillofacial Surgery, Queens Medical Centre, Nottingham, United Kingdom;3. Honorary Professor of Surgery, Consultant Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Queen Alexandria Hospital, Portsmouth, United Kingdom |
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| Abstract: | The aim of this study was to carry out a retrospective multicentre study comparing the morphological outcome of 8 techniques used for the management of sagittal synostosis versus a large cohort of control patients. Computed tomographic (CT) images were obtained from children CT-scanned for non-craniosynostosis related events (n = 241) and SS patients at preoperative and postoperative follow-up stages (n = 101). No significant difference in morphological outcomes was observed between the techniques considered in this study. However, the majority of techniques showed a tendency for relapse. Further, the more invasive procedures at older ages seem to lead to larger intracranial volume compared to less invasive techniques at younger ages. This study can be a first step towards future multicentre studies, comparing surgical results and offering a possibility for objective benchmarking of outcomes between methods and centres. |
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| Keywords: | Sagittal craniosynostosis Intracranial volume Skull Craniofacial growth Development |
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