RESUMEN
INTRODUCTION: From 1983 to 1994, a total of 86 patients having scaphocephaly were studied and treated in our Craniofacial Unit. The present study involves 60 patients treated between 1988 and 1994 which were operated upon with the same surgical technique and that which is currently being used in our department. The surgical approach and results are analyzed. CLINICAL MATERIAL AND METHODS: Patients having scaphocephaly represented 47.51% out of the total 181 children having craniosynostosis and craniofacial synostosis during this period. All of the patients were studied with computerized tomography, with 10 of them having continuous monitoring of their intracranial pressure. All children in this series were treated according to a new surgical technique that achieves an "immediate correction" of the malformation. RESULTS: No patient had abnormal neurological findings and intracranial pressure (ICP) was within normal limits in 0 out of 10 patients having continuous ICP monitoring. CONCLUSIONS: The minimal complications and the excellent cosmetic results have resulted in an optimal surgical technique. The importance of an early diagnosis and surgical treatment of sagittal synostosis is emphasized.
Asunto(s)
Craneosinostosis/cirugía , Craneotomía , Preescolar , Femenino , Humanos , Lactante , Masculino , Estudios RetrospectivosRESUMEN
A series of 25 patients undergoing iterative cesarean section under general anesthesia received isoflurane at 0.75% together with a mixture of O2 and N2O at 50% for anesthetic maintenance. The inhalant agent was withdrawn when closing fascia. There was no case of regaining of consciousness during the operations. Uterine contraction was acceptable as evaluated by the surgeon at the end of the operation. Mean hematocrit value was 31.43 (SD 1.27) at 6 hours of operation. Fetal arterial gasometric values and Apgar score at 5 and 10 minutes fell within acceptable limits.
