Variations of endoscopic and open repair of metopic craniosynostosis
In contrast to sagittal craniosynostosis, the role of endoscopic, minimally invasive approaches in the treatment of metopic craniosynostosis with resulting trigonocephaly is not as well defined. We reviewed the senior authors' (H.M. and S.C.) clinical experience in the treatment of children wit...
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| Veröffentlicht in: | The Journal of craniofacial surgery 2009-09, Vol.20 (5), p.1439-1444 |
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| container_title | The Journal of craniofacial surgery |
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| creator | Keshavarzi, Sassan Hayden, Melanie G Ben-Haim, Sharona Meltzer, Hal S Cohen, Steven R Levy, Michael L |
| description | In contrast to sagittal craniosynostosis, the role of endoscopic, minimally invasive approaches in the treatment of metopic craniosynostosis with resulting trigonocephaly is not as well defined. We reviewed the senior authors' (H.M. and S.C.) clinical experience in the treatment of children with metopic craniosynostosis using a variety of endoscopic and open techniques. Thirty-three patients were treated at a single institution during a 5-year period with between 3 and 8 years of follow-up. Sixteen patients underwent 3 variations of endoscopic approaches, and 17 patients had open fronto-orbital advancement. Clinical parameters of the 2 groups were examined including age at surgery, blood loss, operative time, transfusion volume, hospital stay, complications, use of postoperative cranial banding, and the need for reoperation for persistent deformity. The various endoscopic and open techniques used by the authors in the treatment of metopic craniosynostosis are discussed in detail, including rational for individual technique selection and preliminary impressions regarding clinical outcome. |
| doi_str_mv | 10.1097/SCS.0b013e3181af1555 |
| format | Article |
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| subjects | Age Factors Blood Loss, Surgical Blood Transfusion Child, Preschool Cranial Sutures - abnormalities Cranial Sutures - surgery Craniosynostoses - surgery Dentistry Endoscopy - methods Female Follow-Up Studies Frontal Bone - abnormalities Frontal Bone - surgery Head Protective Devices Hospitalization Humans Infant Length of Stay Male Minimally Invasive Surgical Procedures Orbit - surgery Orthotic Devices Osteotomy - methods Patient Care Planning Postoperative Complications Reconstructive Surgical Procedures - methods Recurrence Reoperation Retrospective Studies Time Factors Treatment Outcome |
| title | Variations of endoscopic and open repair of metopic craniosynostosis |
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