Retrospective study of nonsyndromic craniosynostosis treated over a 10-year period

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dc.contributor.authorBreugem C.C.
dc.contributor.authorVan R. Zeeman B.J.
dc.date.accessioned2011-05-15T16:16:57Z
dc.date.available2011-05-15T16:16:57Z
dc.date.issued1999
dc.description.abstractSince the first operation for premature suture closure in North America in 1888, there have been some fundamental changes in the treatment of these sutures, the latest being the U.S. Food and Drug Administration's 1996 approval of a bioabsorbable fixation device. This retrospective study documents our experience with procedures performed primarily by Bennie J. van R. Zeeman for isolated craniosynostosis over a 10-year period. It was an attempt to evaluate factors affecting outcome and to determine the safety of the techniques used to correct these congenital defects. Diagnoses included plagiocephaly (116) and sagittal (44), metopic (17), and bilateral coronal (12) synostosis. All patients underwent fronto-orbital advancement or calvarial vault remodeling, or both. The average patient age at time of sagittal synostosis surgery was 13.4 months; unilateral coronal synostosis, 12.2 months; deformational plagiocephaly, 9.8 months; metopic synostosis, 8.6 months; and bilateral coronal synostosis, 10.4 months. Perioperative complications were minimal, with one mortality. Postoperative complications included three cases involving infection. The problem of reoperation for the removal of wires and plates remains the greatest postoperative complication. Because of poor patient compliance, no accurate postoperative followup has been recorded. On the basis of our experience, we wish to point out some problems inherent in this surgery and also the complications that can occur despite careful coordinated planning and team effort.
dc.description.versionArticle
dc.identifier.citationJournal of Craniofacial Surgery
dc.identifier.citation10
dc.identifier.citation2
dc.identifier.issn10492275
dc.identifier.urihttp://hdl.handle.net/10019.1/14006
dc.subjectarticle
dc.subjectbrain weight
dc.subjectcraniofacial surgery
dc.subjectcraniofacial synostosis
dc.subjectfemale
dc.subjectfood and drug administration
dc.subjecthuman
dc.subjectinfant
dc.subjectinfection complication
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmortality
dc.subjectpatient compliance
dc.subjectplagiocephaly
dc.subjectpostoperative complication
dc.subjectpreschool child
dc.subjectpriority journal
dc.subjectretrospective study
dc.subjectsurgical technique
dc.subjectsynostosis
dc.subjecttreatment outcome
dc.subjectBone Plates
dc.subjectBone Wires
dc.subjectChild, Preschool
dc.subjectCraniosynostoses
dc.subjectCraniotomy
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant
dc.subjectInternal Fixators
dc.subjectMale
dc.subjectReconstructive Surgical Procedures
dc.subjectReoperation
dc.subjectRetrospective Studies
dc.subjectSurgical Wound Infection
dc.subjectTreatment Outcome
dc.titleRetrospective study of nonsyndromic craniosynostosis treated over a 10-year period
dc.typeArticle
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