Outcomes of Endoscopic Versus Open Spring Assisted Surgery for Sagittal Craniosynostosis.
J Craniofac Surg
; 31(7): 2088-2091, 2020 Oct.
Article
em En
| MEDLINE
| ID: mdl-32649556
ABSTRACT
Spring-assisted surgery (SAS) has been shown to be an effective technique for correction of isolated sagittal craniosynostosis in patients less than 6 months of age. At their institution, the authors adopted a minimally invasive technique in 2010, using a shorter incision and an endoscope. A retrospective chart review of 101 patients with isolated, nonsyndromic, sagittal craniosynostosis, who underwent SAS, was performed in order to compare perioperative and clinical outcomes of the open (nâ=â51) and minimally-invasive (nâ=â50) approaches. Surgeries were performed by 2 neurosurgeons and 3 plastic surgeons, between 2005 and 2018. The pre and postoperative cephalic indices were not significantly different in both groups. Minimally-invasive spring placement required a longer operative time than the open approach, with the mean minimally-invasive operative time at 65âminutes, compared to 53âminutes (Pâ<â0.0001). Spring removal operative time was not significantly different, with the minimally-invasive operative time at 31âminutes versus 29âminutes (Pâ=â0.48). There were no significant differences in major or minor complications when comparing the open and minimally-invasive approaches. In conclusion, both the open and the minimally-invasive SAS techniques are effective for early correction of isolated sagittal craniosynostosis, although the minimally-invasive approach requires a longer operative time for spring placement.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Craniossinostoses
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Infant
Idioma:
En
Revista:
J Craniofac Surg
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Nova Caledônia