Multicenter comparison of head shape outcomes for three minimally invasive strip craniectomy techniques for sagittal craniosynostosis
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Imran Rizvi in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Rami R. Hallac in
jns
Google Scholar
PubMed
Search for other papers by Emily L. Geisler in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Jeyna K. Perez in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Bar Y. Ainuz in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Mark P. Pressler in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Sarah A. Jackson in
jns
Google Scholar
PubMed
Search for other papers by Gary B. Skolnick in
jns
Google Scholar
PubMed
Search for other papers by Matthew D. Smyth in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by James R. Seaward in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Christopher A. Derderian in
jns
Google Scholar
PubMed
Search for other papers by Lisa R. David in
jns
Google Scholar
PubMed
Search for other papers by Christopher M. Runyan in
jns
Google Scholar
PubMed
Search for other papers by Kamlesh B. Patel in
jns
Google Scholar
PubMed
Analytical Imaging and Modeling Center, Children’s Health, Dallas, Texas;
Search for other papers by Alex A. Kane in
jns
Google Scholar
PubMed
OBJECTIVE
A literature gap exists comparing whole head shape outcome following correction of sagittal craniosynostosis. The objective of this multicenter study was to provide an analysis of long-term results following three different endoscopic strip craniectomy techniques for correction of sagittal craniosynostosis: 1) spring-assisted strip craniectomy, 2) wide-strip craniectomy with biparietal and bitemporal barrel-stave wedge osteotomies plus helmet orthosis, and 3) narrow-strip craniectomy plus orthosis without barrel staves.
开云体育世界杯赔率
Pre- and postoperative 3D stereophotogrammetric images were collected from patients who underwent craniosynostosis surgery. Procedures were divided among institutions as follows: spring-assisted strip craniectomies were performed at Atrium Health Wake Forest Baptist Hospital; narrow-strip craniectomies were performed at St. Louis Children’s Hospital by one craniofacial surgeon; and wide-vertex craniectomies were performed at St. Louis Children’s Hospital prior to 2010, and then continued at Children’s Medical Center Dallas. Pre- and postoperative 3D whole-head composite images were generated for each procedure to visually represent outcomes at final follow-up and compared with age-matched normal controls.
RESULTS
Patients in the spring-assisted strip craniectomy group showed normalization of frontal bossing and skull height compared with age-matched controls, whereas patients undergoing wide-strip craniectomy showed greater correction of occipital protrusion. Patients in the narrow-strip craniectomy cohort had intermediate results between these outcomes. Nested aggregate head shapes showed good correction of head shapes from all techniques.
CONCLUSIONS
回顾,这种大型多中心研究实例trated whole head shape outcomes from three different craniectomy procedures. Although each procedure showed some differences in loci of primary correction, all three surgical methods demonstrated good correction of primary scaphocephalic deformity.
ABBREVIATIONS
EAC = endoscope-assisted craniectomy .
开云体育平台上