Differential management of scaphocephaly

Differential management of scaphocephaly

Objectives/Hypothesis: The objective of this study was to review the outcomes of scaphocephaly management. We hypothesized that differential treatment of scaphocephaly based on age at correction and degree of severity yields consistently satisfying results while reducing the operative morbidity. Stu...

Full description

Saved in:
Bibliographic Details
Published in:The Laryngoscope Vol. 122; no. 2; pp. 246 - 253
Main Authors: Tatum, Sherard A., Jones, Lamont R., Cho, Minji, Sandu, Ranjit
Format: Journal Article
Language:English
Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-02-2012
Wiley-Blackwell
Subjects:
Biological and medical sciences
cranial malformation
Craniosynostoses - diagnosis
Craniosynostoses - surgery
craniosynostosis
Craniotomy - methods
Diseases of the osteoarticular system
Female
Follow-Up Studies
Humans
Infant
Length of Stay
Level of Evidence: 4
Male
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Otorhinolaryngology. Stomatology
Reconstructive Surgical Procedures - methods
Retrospective Studies
sagittal suture
Scaphocephaly
Severity of Illness Index
Skull - abnormalities
Skull - diagnostic imaging
Skull - surgery
skull deformity
synostosis
Tomography, X-Ray Computed
Treatment Outcome
Nervous system diseases
cranial malformation
Craniosynostosis
Diseases of the osteoarticular system
Synostosis
Dysostosis
ENT
Scaphocephaly
Treatment
sagittal suture
skull deformity
Malformation
Skull disease
Skull
Suture
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives/Hypothesis: The objective of this study was to review the outcomes of scaphocephaly management. We hypothesized that differential treatment of scaphocephaly based on age at correction and degree of severity yields consistently satisfying results while reducing the operative morbidity. Study Design: Retrospective patient record review. Methods: Three cranial vault–remodeling procedures with varying levels of aggressiveness (limited‐access, partial, and total cranial‐vault remodeling) were performed on patients with scaphocephaly from 1995 to 2010. More‐aggressive procedures were performed on older patients and patients having more‐severe deformities. Patient records were reviewed for age, weight, blood loss, and length of hospital stay, and cephalic indices (CIs) were calculated from computed tomography scans and clinical photographs. Results: Fifty‐one patients underwent surgery for scaphocephaly during the study period. The average estimated blood volume fraction lost was 0.41. The average length of hospital stay was 4.49 days. Pre‐ and postoperative CIs were calculable for 36 patients. The average preoperative CI was 68.7. The average postoperative CI was 79.3, for an average operative change of 15%. The three procedures had statistically different values for average length of stay. A trend was suggested for estimated blood loss and volume fraction lost. There was no statistically significant difference in CI outcomes. Conclusions: This study supports the concept of a proportionate response in the management of scaphocephaly. Less‐aggressive procedures do not yield less‐desirable results when properly selected to match the clinical situation of the individual patient.
Bibliography:istex:D4BB67C2D0951976EDF35AEBF360145CC1960B3A
The authors have no funding, financial relationships, or conflicts of interest to disclose.
ark:/67375/WNG-KPRWLFTS-1
ArticleID:LARY22463
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.22463