Troubles neurologiques

Craniosynostosis: Surgical Treatment and Safety 16 years Experience

Abstract

Franco Agustin Rinaudo Marini*, Daniel Gustavo Velazquez Quintar, Campana Javier Dario, Federico Ignacio Garavaglia and Enrique Jose Herrera

Introduction: Craniosynostosis is defined as the early and pathological closure of one or several skull sutures which limits brain growth and development. It has an incidence of 1 over 2000-2500 live births. Main concerns about its surgical management refers to the preoperative study, surgical timing and technique.

Methods: For this study we retrospectively review medical records of patients surgically treated in our institution between January 2006 and December 2021. We studied variety, sex and age distribution, surgical technic and complications.

Results: During the period of study 84 children were surgically treated, 69% were males (58 patients) with a mean age of 6 months, the follow-up period was between 1-180 months. The variety distribution of non syndromic craniosynostosis was scaphocephaly (51;61%) trigonocephaly (14;16.5%) anterior plagiocephaly (8;9.5%), brachycephaly (3;3.5%) posterior plagiocephaly (2;2.5%) and one case of oxycephaly (1%), we described 5 syndromic cases (6%). There were 4 complications and no mortality in our series.

Discussion: In our series of 84 patients we had a sex and variety distribution similar to other reposts. Our incidence and type of complications was also similar to those described by other authors.

Conclusion: Craniosynostosis is a rare entity in the general population but usual in pediatric neurosurgery, it's early recognition and adequate referral to a specialized unit gives the better chances of good esthetic and functional results for the patient.