Department of Maxillo-Facial Surgery and Plastic Surgery, Necker - Enfants Malades University Hospital, Assistance Publique - Hôpitaux de Paris, Paris 75015, France; Department of Mechanical Engineering, University College London, London WC1E 7JE, UK.
Department of Maxillo-Facial Surgery and Plastic Surgery, Necker - Enfants Malades University Hospital, Assistance Publique - Hôpitaux de Paris, Paris 75015, France.
Br J Oral Maxillofac Surg. 2022 May;60(4):499-506. doi: 10.1016/j.bjoms.2021.09.017. Epub 2021 Oct 5.
The aim of this study was to carry out a retrospective multicentre study comparing the morphological outcome of 8 techniques used for the management of sagittal synostosis versus a large cohort of control patients. Computed tomographic (CT) images were obtained from children CT-scanned for non-craniosynostosis related events (n = 241) and SS patients at preoperative and postoperative follow-up stages (n = 101). No significant difference in morphological outcomes was observed between the techniques considered in this study. However, the majority of techniques showed a tendency for relapse. Further, the more invasive procedures at older ages seem to lead to larger intracranial volume compared to less invasive techniques at younger ages. This study can be a first step towards future multicentre studies, comparing surgical results and offering a possibility for objective benchmarking of outcomes between methods and centres.
本研究旨在进行一项回顾性多中心研究，比较 8 种用于矢状缝早闭治疗的方法的形态学结果与一大组对照患者。从因非颅缝早闭相关事件而接受 CT 扫描的儿童（n=241）和术前及术后随访阶段的 SS 患者（n=101）的 CT 图像中获得数据。在所研究的技术中，没有观察到形态学结果的显著差异。然而，大多数技术都显示出复发的趋势。此外，与年龄较小的患者采用的较微创技术相比，年龄较大的患者采用更具侵袭性的手术似乎会导致更大的颅内体积。本研究可作为未来多中心研究的第一步，比较手术结果，并为方法和中心之间的结果提供客观的基准测试。
