Zhang Di,Ge Ming,Ma Wenping,et al.A comparison of π craniectomy plus orthopedic helmet versus cranial vault remodeling for non-syndromic premature sagittal suture in infants[J].Journal of Clinical Pediatric Surgery,,():113-118.[doi:10.3760/cma.j.cn101785-202312054-003]
A comparison of π craniectomy plus orthopedic helmet versus cranial vault remodeling for non-syndromic premature sagittal suture in infants
- Keywords:
- Craniosynostoses; Sagittal Synostosis; Surgical Procedures; Operative; Craniectomy; Treatment Outcome; Infant; Child
- Abstract:
- Objective To compare the perioperative risk factors and postoperative efficacy of πcraniectomy plus orthopedic helmet versus cranial vault remodeling for non-syndromic premature sagittal suture and examine the advantages and disadvantages of two treatments to provide references for formulating individualized treatment plans for infantile non-syndromic sagittal premature closure.Methods From May 2018 to May 2023,retrospective review was conducted for hospitalized infants with non-syndromic sagittal premature closure.Perioperative data,perioperative cephalic index and intracranial volume were statistically examined.T test was utilized for normal distribution data and Mann-Whitney test for non-normal distribution data.P<0.05 implied statistically significant inter-group difference.Results There were 11 children (8 boys,3 girls) in π craniectomy plus orthopedic helmet group.Cranial vault remodeling group included 6 children (4 boys,2 girls).No significant inter-group difference existed in pericephalic index or preoperative intracranial volume (P>0.05).Preoperative cephalic index ［(0.72±0.06) vs.(0.67±0.04)］,postoperative cephalic index ［(0.77±0.06) vs.(0.73±0.01)］and preoperative intracranial volume ［(753.54±94.25) vs.(812.02±79.89) ml］.However,differences of statistical significance existed in age ［(8.23±2.10) vs.(14.57±5.54) month］,operation duration［(2.24±0.22) vs.(5.00±0.52) h］,intraoperative volume of blood loss ［(70.0(57.5,122.5) vs.120.0(100.0,127.5) mL］,hospitalization expense ［31355.0(27595.0,37554.0) vs.116414.5(98185.3,124383.5) yuan］and postoperative follow-up intracranial volume ［(823.72±93.94) vs.956.54±149.31) mL］(P<0.05).Conclusions Both πcraniectomy plus orthopedic helmet and cranial vault remodeling may improve intracranial volume and cephalic index of infants with non-syndromic premature sagittal suture.However,π craniectomy plus orthopedic helmet offers the advantages of shorter operative duration,less intraoperative volume of hemorrhage and lower hospitalization expense.Cranial vault remodeling is reserved for postoperative expansion of intracranial volume.
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Memo
收稿日期:2023-12-23。
通讯作者:李大鹏,Email:592547218@163.com