Zakhary George M, Montes David M, Woerner Jennifer E, Notarianni Christina, Ghali G E
Department of Oral & Maxillofacial Surgery, Louisiana State University School of Medicine - Shreveport, USA.
Department of Neurosurgery, Louisiana State University School of Medicine - Shreveport, USA.
J Craniomaxillofac Surg. 2014 Dec;42(8):1684-91. doi: 10.1016/j.jcms.2014.05.014. Epub 2014 Jun 4.
Provide outcome data for open cranial vault reshaping at a single institution by a single craniofacial surgeon treating 100 patients.
A total of 100 patient records were reviewed. Criteria for selection included patients less than three years of age undergoing primary surgery with open cranial vault reshaping and a minimum follow up time of 2 years.
Of the 100 patients (27 female, 73 male) treated 6 were syndromic and 94 nonsyndromic. Average age and weight were 8.9 months and 9.51 kg, respectively. The oldest child was 30 months and the youngest 5 months at the time of surgery. The estimated blood volume lost was 42.7% of total calculated blood volume ranging from 16.6% to 336%. Average surgical time was 216.7 min. Complications included 2 hematomas, 2 wound infections, 1 subgaleal abscess, 6 dural tears, 3 patients requiring reoperation for residual deformity, 4 cases requiring coronal scar revision, 1 sagittal sinus bleed, and 1 intraoperative death.
Our review of 100 open repairs of patients with craniosynostosis demonstrates good long-term results with an overall low complication rate. The outcome data will assist in developing future prospective studies aimed at improving the multidisciplinary care of these patients.
提供由一位颅面外科医生在单一机构对100例患者进行开放性颅穹窿重塑手术的结果数据。
共回顾了100例患者的记录。入选标准包括年龄小于3岁、接受初次开放性颅穹窿重塑手术且随访时间至少2年的患者。
在接受治疗的100例患者（27例女性，73例男性）中，6例为综合征型，94例为非综合征型。平均年龄和体重分别为8.9个月和9.51千克。手术时年龄最大的患儿为30个月，最小的为5个月。估计失血量为计算出的总血容量的42.7%，范围为16.6%至336%。平均手术时间为216.7分钟。并发症包括2例血肿、2例伤口感染、1例帽状腱膜下脓肿、6例硬脑膜撕裂、3例因残留畸形需再次手术的患者、4例需要冠状切口瘢痕修复的病例、1例矢状窦出血和1例术中死亡。
我们对100例颅缝早闭患者进行开放性修复的回顾显示，长期效果良好，总体并发症发生率较低。这些结果数据将有助于开展未来旨在改善这些患者多学科护理的前瞻性研究。
