Retrospective Review of Craniosynostosis Cases: Bursa Uludağ University Experience
Yıl 2024,
Cilt: 50 Sayı: 1, 85 - 88, 17.05.2024
Rabia Nur Balçın
,
Hanside Setenay Ünal
,
Pınar Eser Ocak
,
Mevlüt Özgür Taşkapılıoğlu
Öz
Craniosynostosis is a developmental craniofacial anomaly that causes neuronal developmental problems and abnormal skull shape. In this study, the patient files of pediatric patients who were followed and treated in our clinic between January 2005 and December 2022 were retrospectively evaluated. 94 patients were included in our study. 57 (60.6%) of the patients were male and 37 (39.4%) were female. 45 (47.9%) cases were operated for scaphocephaly, 31 (33%) for trigonocephaly, and 12 (12.8%) for plagiocephaly. There were 4 (4.25%) cases of syndromic craniosynostosis. Median operative time was 95 minutes. A significant correlation was found between operation time and hospitalization time. Postoperative complications developed in 3 (3.2%) cases. Mortality was observed in the early postoperative period in 3 (3.2%) cases. Craniosynostosis, one of the main pathologies of pediatric neurosurgery, is not just a cosmetic problem; It is a pathology that needs to be treated at the right time to ensure neuronal development. It should be kept in mind that it is a serious pathology that can cause mortality and morbidity despite developing surgical techniques.
Kaynakça
- 1- Yilmaz E, Mihci E, Nur B, Alper ÖM, Taçoy Ş. Recent Advances in Craniosynostosis. Pediatr Neurol. 2019;99:7-15.
- 2- Heuzé Y, Holmes G, Peter I, Richtsmeier JT, Jabs EW. Closing the Gap: Genetic and Genomic Continuum from Syndromic to Nonsyndromic Craniosynostoses. Curr Genet Med Rep. 2014;2(3):135-145.
- 3- Shlobin NA, Baticulon RE, Ortega CA, et al. Global Epidemiology of Craniosynostosis: A Systematic Review and Meta-Analysis. World Neurosurg. 2022;164:413-423.e3.
- 4- Kolar JC. An epidemiological study of nonsyndromal craniosynostoses. J Craniofac Surg. 2011;22(1):47-49.
- 5- Selber J, Reid RR, Chike-Obi CJ, et al. The changing epidemiologic spectrum of single-suture synostoses. Plast Reconstr Surg. 2008;122(2):527-533.
- 6- Kalmar CL, Zapatero ZD, Kosyk MS, et al. Elevated intracranial pressure with craniosynostosis: a multivariate model of age, syndromic status, and number of involved cranial sutures. J Neurosurg Pediatr. 2021;28(6):716-723.
- 7- Bir SC, Ambekar S, Notarianni C, Nanda A. Odilon Marc Lannelongue (1840-1911) and strip craniectomy for craniosynostosis. Neurosurg Focus. 2014;36(4):E16.
- 8- Proctor MR, Meara JG. A review of the management of single-suture craniosynostosis, past, present, and future. J Neurosurg Pediatr. 2019;24(6):622-631.
- 9- Tessier P. Ostéotomies totales de la face. Syndrome de Crouzon, syndrme d'Apert: oxycéphalies, scaphocéphalies, turricéphalies [Total facial osteotomy. Crouzon's syndrome, Apert's syndrome: oxycephaly, scaphocephaly, turricephaly]. Ann Chir Plast. 1967;12(4):273-286.
- 10- Davis C, Windh P, Lauritzen CG. Adaptation of the cranium to spring cranioplasty forces. Childs Nerv Syst. 2010;26(3):367-371.
- 11- White N, Evans M, Dover MS, Noons P, Solanki G, Nishikawa H. Posterior calvarial vault expansion using distraction osteogenesis. Childs Nerv Syst. 2009;25(2):231-236.
- 12- Jimenez DF, Barone CM, McGee ME. Design and care of helmets in postoperative craniosynostosis patients: our personal approach. Clin Plast Surg. 2004;31(3):481-vii.
- 13- Kirmi O, Lo SJ, Johnson D, Anslow P. Craniosynostosis: a radiological and surgical perspective. Semin Ultrasound CT MR. 2009;30(6):492-512.
- 14- Tunçbilek G, Vargel I, Erdem A, Mavili ME, Benli K, Erk Y. Blood loss and transfusion rates during repair of craniofacial deformities. J Craniofac Surg. 2005;16(1):59-62.
- 15- Seruya M, Oh AK, Boyajian MJ, et al. Long-term outcomes of primary craniofacial reconstruction for craniosynostosis: a 12-year experience. Plast Reconstr Surg. 2011;127(6):2397-2406.
- 16- Lopez MM Jr, Lee J, Morrison K, Hoffman C, Souweidane M, Ascherman JA. Calculated Blood Loss and Transfusion Requirements in Primary Open Repair of Craniosynostosis. Plast Reconstr Surg Glob Open. 2019;7(2):e2112.
- 17- Czerwinski M, Hopper RA, Gruss J, Fearon JA. Major morbidity and mortality rates in craniofacial surgery: an analysis of 8101 major procedures. Plast Reconstr Surg. 2010;126(1):181-186.
- 18- Esparza J, Hinojosa J. Complications in the surgical treatment of craniosynostosis and craniofacial syndromes: apropos of 306 transcranial procedures. Childs Nerv Syst. 2008;24(12):1421-1430.
- 19- Byeon JH, Yoo G. Cerebral salt wasting syndrome after calvarial remodeling in craniosynostosis. J Korean Med Sci. 2005;20(5):866-869.
Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi
Yıl 2024,
Cilt: 50 Sayı: 1, 85 - 88, 17.05.2024
Rabia Nur Balçın
,
Hanside Setenay Ünal
,
Pınar Eser Ocak
,
Mevlüt Özgür Taşkapılıoğlu
Öz
Kraniosinostoz, beyin gelişiminde bozulmaya ve anormal kafatası şekline neden olan gelişimsel bir kraniofasiyal anomalidir. Bu çalışmamızda kliniğimizde Ocak 2005- Aralık 2022 tarihleri arasında takip ve tedavi edilen pediatrik hastaların dosyaları retrospektif olarak incelenmiştir. Çalışmamıza 94 hasta dahil edilmiştir. Hastaların 57 (%60,6) tanesi erkek, 37’si (%39,4) kadındı. 45 (%47,9) olgu skafosefali, 31 (%33) olgu trigonosefali, 12 plagiosefali (%12,8) nedeni ile opere edildi. 4 (%4,25) sendromik kraniosinostoz olgusu mevcuttu. Median operasyon süresi 95 dakikaydı. Operasyon süresi ile yatış süresi arasında anlamlı korelasyon saptandı. 3 (%3,2) olguda postoperatif komplikasyon gelişti. 3 (%3.2) olguda postoperatif erken dönemde mortalite gözlendi. Pediatrik nöroşirürjinin ana patolojilerinden biri olan kraniosinositoz sadece kozmetik bir sorun değil; nöronal gelişimin sağlanması için doğru zamanda tedavi edilmesi gereken bir patolojidir. Gelişen cerrahi tekniklere rağmen mortalite ve morbiditelere neden olabilecek ciddi bir patoloji olduğu akılda tutulmalıdır.
Etik Beyan
Uludağ Üniversitesi Tıp Fakültesi Klinik Araştırmalar Etik Kurulu tarafından 10 Ekim 2023 tarih ve Karar No: 2023-19/21 ile etik kurul onayı alınmıştır.
Yazarların çıkar çatışması yoktur
Kaynakça
- 1- Yilmaz E, Mihci E, Nur B, Alper ÖM, Taçoy Ş. Recent Advances in Craniosynostosis. Pediatr Neurol. 2019;99:7-15.
- 2- Heuzé Y, Holmes G, Peter I, Richtsmeier JT, Jabs EW. Closing the Gap: Genetic and Genomic Continuum from Syndromic to Nonsyndromic Craniosynostoses. Curr Genet Med Rep. 2014;2(3):135-145.
- 3- Shlobin NA, Baticulon RE, Ortega CA, et al. Global Epidemiology of Craniosynostosis: A Systematic Review and Meta-Analysis. World Neurosurg. 2022;164:413-423.e3.
- 4- Kolar JC. An epidemiological study of nonsyndromal craniosynostoses. J Craniofac Surg. 2011;22(1):47-49.
- 5- Selber J, Reid RR, Chike-Obi CJ, et al. The changing epidemiologic spectrum of single-suture synostoses. Plast Reconstr Surg. 2008;122(2):527-533.
- 6- Kalmar CL, Zapatero ZD, Kosyk MS, et al. Elevated intracranial pressure with craniosynostosis: a multivariate model of age, syndromic status, and number of involved cranial sutures. J Neurosurg Pediatr. 2021;28(6):716-723.
- 7- Bir SC, Ambekar S, Notarianni C, Nanda A. Odilon Marc Lannelongue (1840-1911) and strip craniectomy for craniosynostosis. Neurosurg Focus. 2014;36(4):E16.
- 8- Proctor MR, Meara JG. A review of the management of single-suture craniosynostosis, past, present, and future. J Neurosurg Pediatr. 2019;24(6):622-631.
- 9- Tessier P. Ostéotomies totales de la face. Syndrome de Crouzon, syndrme d'Apert: oxycéphalies, scaphocéphalies, turricéphalies [Total facial osteotomy. Crouzon's syndrome, Apert's syndrome: oxycephaly, scaphocephaly, turricephaly]. Ann Chir Plast. 1967;12(4):273-286.
- 10- Davis C, Windh P, Lauritzen CG. Adaptation of the cranium to spring cranioplasty forces. Childs Nerv Syst. 2010;26(3):367-371.
- 11- White N, Evans M, Dover MS, Noons P, Solanki G, Nishikawa H. Posterior calvarial vault expansion using distraction osteogenesis. Childs Nerv Syst. 2009;25(2):231-236.
- 12- Jimenez DF, Barone CM, McGee ME. Design and care of helmets in postoperative craniosynostosis patients: our personal approach. Clin Plast Surg. 2004;31(3):481-vii.
- 13- Kirmi O, Lo SJ, Johnson D, Anslow P. Craniosynostosis: a radiological and surgical perspective. Semin Ultrasound CT MR. 2009;30(6):492-512.
- 14- Tunçbilek G, Vargel I, Erdem A, Mavili ME, Benli K, Erk Y. Blood loss and transfusion rates during repair of craniofacial deformities. J Craniofac Surg. 2005;16(1):59-62.
- 15- Seruya M, Oh AK, Boyajian MJ, et al. Long-term outcomes of primary craniofacial reconstruction for craniosynostosis: a 12-year experience. Plast Reconstr Surg. 2011;127(6):2397-2406.
- 16- Lopez MM Jr, Lee J, Morrison K, Hoffman C, Souweidane M, Ascherman JA. Calculated Blood Loss and Transfusion Requirements in Primary Open Repair of Craniosynostosis. Plast Reconstr Surg Glob Open. 2019;7(2):e2112.
- 17- Czerwinski M, Hopper RA, Gruss J, Fearon JA. Major morbidity and mortality rates in craniofacial surgery: an analysis of 8101 major procedures. Plast Reconstr Surg. 2010;126(1):181-186.
- 18- Esparza J, Hinojosa J. Complications in the surgical treatment of craniosynostosis and craniofacial syndromes: apropos of 306 transcranial procedures. Childs Nerv Syst. 2008;24(12):1421-1430.
- 19- Byeon JH, Yoo G. Cerebral salt wasting syndrome after calvarial remodeling in craniosynostosis. J Korean Med Sci. 2005;20(5):866-869.