Operative treatment of coronal craniosynostosis: 20 years of experience.
作者信息
Guo Zhilin, Ding Meixiu, Mu Xiongzhen, Chen Ruopin
机构信息
Department of Neurosurgery, Ninth People's Hospital Affiliated, Shanghai Jiaotong University, 200011, Shanghai, People's Republic of China.
出版信息
Surg Neurol. 2007;68 Suppl 2:S18-21; discussion S21. doi: 10.1016/j.surneu.2006.07.009. Epub 2006 Nov 3.
BACKGROUND
To investigate the effect on and risk in coronal synostosis surgery of fronto-orbital advancement.
METHODS
One hundred sixty-five cases of coronal synostosis were retrospectively reviewed, including their clinical manifestations, computed tomography scans, operations, operative complications, and follow-up results.
RESULTS
Of the 165 cases, 111 were male and 54 were female, with a mean age of 12.1 months. Unilateral coronal synostosis was encountered in 38 cases and bilateral in 127, 45 of which were accompanied by Crouzon syndrome. All cases underwent fronto-orbital advancement. After the operation, 1 patient died from intracranial hemorrhage and 5 developed craniospinal fluid leak. No reoperation was necessary for coronal synostosis relapse in a follow-up study from 3 months to 5 years.
CONCLUSION
Fronto-orbital advancement is an effective and safe technique for coronal synostosis. However, longer follow-up is required to rectify the final functional and aesthetic results of craniofacial architecture.
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