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Evaluation of Endoscopic Strip Craniectomy and Orthotic Therapy for Bilateral Coronal Craniosynostosis.
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2019 Mar/Apr; Vol. 30 (2), pp. 453-457. - Publication Year :
- 2019
-
Abstract
- Background: Bilateral coronal craniosynostosis is the premature fusion of both coronal sutures. Traditionally, this condition is treated by frontal-orbital advancement (FOA). Endoscopic strip craniectomy with cranial orthotic therapy, which has gained popularity in treating single suture craniosynostosis, has recently been adapted for the treatment of bicoronal synostosis. There have been few studies documenting the outcomes of this treatment. The objective of this study is to compare the morphological outcomes of endoscopic strip craniectomy and FOA in patients with bicoronal synostosis.<br />Methods: A retrospective case series was done on 24 patients with bilateral coronal synostosis treated with endoscopic strip craniectomy or FOA at 2 institutions. Patients with preoperative and 1-year postoperative computed tomography scans were included. Multiple measures of cranial shape and size were assessed: cephalic index, turricephaly index, basofrontal angle, circumference Z-score, and cranial vault volume Z-score.<br />Results: The 2 groups were similar statistically in terms of morphology at preoperative scan. There were no statistical differences between the FOA group and endoscopic group at postoperative scan in any of the morphologic outcomes measured. Cranial vault volume Z-scores increased postoperatively in both the endoscopic (Pā<ā0.001) and FOA (Pā=ā0.034) groups.<br />Conclusions: One year after repair there were no significant morphological difference between patients with bicoronal synostosis treated with the endoscopic approach and those treated by FOA.
- Subjects :
- Comparative Effectiveness Research
Cranial Sutures diagnostic imaging
Cranial Sutures surgery
Female
Follow-Up Studies
Humans
Infant
Male
Outcome and Process Assessment, Health Care
Plastic Surgery Procedures adverse effects
Plastic Surgery Procedures instrumentation
Plastic Surgery Procedures methods
Retrospective Studies
Skull surgery
Tomography, X-Ray Computed methods
Treatment Outcome
Craniosynostoses diagnosis
Craniosynostoses surgery
Craniotomy adverse effects
Craniotomy methods
Endoscopy adverse effects
Endoscopy methods
Postoperative Complications diagnosis
Postoperative Complications etiology
Postoperative Complications prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 30
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 30640858
- Full Text :
- https://doi.org/10.1097/SCS.0000000000005118