Surgical Correction of Craniosynostosis. A Single Institution’s Outcome Analysis of 70 Patients

Evangelos G. Kilipirisa, ... Peter Stankof more
a Evangelos G. Kilipiris

Oral and Maxillofacial Surgery Residency Program, PGY4, Comenius University, Faculty of Medicine, Bratislava, Slovak Republic. Department of Oral and Maxillofacial Surgery, Comenious University, Faculty of Medicine, Moskovska 15, Bratislava 81108, Slovak Republic Tel.: +421944715632, Fax: +421232249724 E-mail: varonos@live.co.uk Instagram: @evangeloskilipiris

b Frantisek Horn

PhD; Department of Pediatric Surgery, Division of Pediatric Neurosurgery, Comenius University, Faculty of Medicine, Pediatric University, Hospital and Polyclinic, Bratislava, Slovak Republic

c Michal Petrik

Department of Pediatric Surgery, Division of Pediatric Neurosurgery, Comenius University, Faculty of Medicine, Pediatric University, Hospital and Polyclinic, Bratislava, Slovak Republic

d Michal Kabat

PhD; Department of Pediatric Surgery, Division of Pediatric Neurosurgery, Comenius University, Faculty of Medicine, Pediatric University, Hospital and Polyclinic, Bratislava, Slovak Republic

e Jan Trnka

СSc, Associate Professor, Chair of the Department of Pediatric Surgery, Comenius University, Faculty of Medicine, Pediatric University Hospital and Polyclinic, Bratislava, Slovak Republic

f Peter Stanko

PhD, Professor, Chair of the Department of Stomatology, Oral and Maxillofacial Surgery, Comenius University, Faculty of Medicine and St. Elizabeth, Oncologic Institute, Bratislava, Slovak Republic

December 28, 2017

https://doi.org/10.23999/j.dtomp.2017.3-4.6

J Diagn Treat Oral Maxillofac Pathol 2017;1:137−46.

Under a Creative Commons license

How to cite this article

Kilipiris EG, Horn F, Petrik M, Kabat M, Trnka J, Stanko P. Surgical correction of craniosynostosis. A single institution`s outcome analysis of 70 patients. J Diagn Treat Oral Maxillofac Pathol 2017;1(3−4):137−46.

Abstract

Purpose: The goal of the current study is to provide outcome data for open cranial vault reconstruction at a single institution by a single craniofacial-neurosurgical team.


Patients and Methods: A total of 70 patient records were reviewed. The inclusion criteria were patients less than 3 years of age undergoing primary surgery with open cranial vault reshaping and a minimum follow up time of 2 years.


Findings: Of the 70 patients meeting the selection criteria (32 female, 38 male), 5 were syndromic and 65 nonsyndromic. Average age and weight were 8.8 months and 9 kg respectively. The oldest child was
21 months and the youngest 3.5 months at the time of surgery. The estimated blood volume lost was 35.8% of total calculated blood volume. Average surgical time was 223.2 minutes.


Conclusion: Our review of 70 open repairs of patients with craniosynostosis demonstrates good long-term results with an overall low complication rate and represents open cranial vault reconstruction as a valuable method for repair of such defects.