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Modified endoscopic strip craniectomy technique for sagittal craniosynostosis: provides comparable results and avoids bony defects

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dc.contributor.authorDAĞÇINAR, ADNAN
dc.contributor.authorsSakar, Mustafa; Cevik, Serdar; Isik, Semra; Haidar, Hassan; Sahin, Yener; Sacak, Bulent; Bayri, Yasar; Dagcinar, Adnan
dc.date.accessioned2022-03-23T09:35:12Z
dc.date.available2022-03-23T09:35:12Z
dc.date.issued2022
dc.description.abstractPurpose This study describes a modified technique addressing bony defects and incomplete ossification after endoscopic strip craniectomy (ESC) for SC followed by postoperative helmet therapy (PHT). The study aims to delineate quantitative and qualitative outcomes of this modified ESC technique followed by PHT and discern the optimal duration of PHT following ESC. A secondary aim is to address the effects of the technique on bony defects. Methods Patients undergoing ESC followed by PHT between 2017 and 2021 were included. Patient sex, age at surgery, duration of surgery, red blood cell transfusion, length of hospital stay, PHT duration, cephalic index (CI) at multiple time points, and bony defect information were collected. Descriptive and correlative analysis was done. Results Thirty-one patients (25 male, 6 female) were operated in study period. Mean age at surgery was 12.81 weeks, mean duration of surgery was 57.50 min, average transfused RBC volume was 32 cc, mean length of hospital stay was 1.84 days, mean PHT duration was 33.16 weeks, and mean follow-up time was 63.42 weeks. Mean preoperative CI was 70.6, and mean CI at the end of PHT was significantly higher, being 77.1. Maximum improvement in CI (CImax) took place at week 22.97. PHT duration did not have a correlation with CI at last follow up. There were no bony defects. Conclusion Modified ESC technique is effective in successful correction of sagittal craniosynostosis. CImax already takes place, while PHT is continuing, but there is no certain time point for dishelmeting. The technique avoided bony defects and incomplete ossification.
dc.identifier.doi10.1007/s00381-021-05429-9
dc.identifier.eissn1433-0350
dc.identifier.issn0256-7040
dc.identifier.pubmed35022854
dc.identifier.urihttps://hdl.handle.net/11424/254636
dc.identifier.wosWOS:000741898000002
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofCHILDS NERVOUS SYSTEM
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSagittal craniosynostosis
dc.subjectEndoscopic strip craniectomy
dc.subjectPostoperative helmet therapy
dc.subjectBony defect
dc.subjectIncomplete ossification
dc.subjectPHT duration
dc.subjectTOTAL CALVARIAL RECONSTRUCTION
dc.subjectINTRACRANIAL VOLUME
dc.subjectHELMET THERAPY
dc.subjectMANAGEMENT
dc.subjectOUTCOMES
dc.titleModified endoscopic strip craniectomy technique for sagittal craniosynostosis: provides comparable results and avoids bony defects
dc.typearticle
dspace.entity.typePublication
local.avesis.id867bbd7b-d10f-429a-9ebb-6212220ac25e
local.import.packageSS26
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages8
oaire.citation.titleCHILDS NERVOUS SYSTEM
relation.isAuthorOfPublication53e7d31c-a13c-42de-bbf1-385a42bc6589
relation.isAuthorOfPublication.latestForDiscovery53e7d31c-a13c-42de-bbf1-385a42bc6589

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