Surgical outcome after using a modified technique of the pi-procedure for posterior sagittal suture closure |
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| Authors: | M Engel C Freudlsperger J Hoffmann J Mühling G Castrillón-Oberndorfer R Seeberger |
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| Institution: | 3. Department of Pharmacology and Program in Vascular Biology and Therapeutics, Yale School of Medicine, New Haven, Connecticut 06520;4. Department of Pharmacology, University of Illinois at Chicago, Chicago, Illinois 60612;5. Research Center for Advanced Science and Technology, University of Tokyo, Tokyo 153, Japan;1. Hansjörg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York, New York;2. Division of Plastic Surgery, Department of Surgery, Mount Sinai Health System and Icahn School of Medicine, New York, New York;1. Molecular Medicine Division, Maine Medical Center Research Institute, 81 Research Drive, Scarborough, ME;2. Computational Biology and Informatics Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;3. Department of Medicine, Tufts University Medical Center, Boston, MA;1. Department of Surgery, Division of Acute Care Surgery, Cedars-Sinai Medical Center, Los Angeles, California;2. Department of Surgery, Division of Trauma, Burn, and Surgical Critical Care, Brigham and Women''s Hospital, Boston, Massachusetts |
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| Abstract: | Fusion of the sagittal suture is the most prevalent form of craniosynostosis. Due to the variety of deformities of scaphocephaly depending on the location of the fused sagittal suture, the surgical procedure has to be adjusted to the individual case.In this study, 38 patients with a predominantly posterior sagittal suture closure were treated with a modified technique of the pi-procedure and the surgical outcome has been evaluated with respect to complications, morphological and aesthetic outcome.The improvement of the cephalic index in our series in the follow-up examination (mean 60.1 months) after surgery was significant (p < 0.0001). According to the classification of Whitaker, 31 patients had a Class 1 outcome, with excellent surgical results. Aesthetic outcomes were excellent in 29, good in 5, and poor in 4 of cases, as judged by both the families and the craniofacial team. No severe complications have been observed.Posterior sagittal suture with marked occipital bulging can be successfully treated with this modified posterior procedure with a low complication rate, significant improvement of the cephalic index and a good aesthetic outcome. In all cases of sagittal synostosis, the operative procedure should be tailored to the nature and severity of the deformity. |
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