Faculty Collaboration Database

Craniosynostosis: a single institution's outcome assessment from surgical reconstruction. J Craniofac Surg 2008 Jan;19(1):65-71

Date

01/25/2008

Pubmed ID

18216667

DOI

10.1097/SCS.0b013e31815c8aae

Scopus ID

2-s2.0-38549180303 (requires institutional sign-in at Scopus site)   58 Citations

Abstract

PURPOSE: A retrospective review of a single institution's 20-year experience of complications and reoperation rates after surgery for primary craniosynostosis correction.

METHODOLOGY: A retrospective chart review of all patients (n = 376) undergoing primary surgery for craniosynostosis was conducted. The charts were analyzed for diagnosis, sex, syndromic involvement, age at operation, type of fixation, complications, and reoperations. Complications were defined as any event requiring prolonged hospitalization or readmission secondary to the surgical procedure, reoperation, or mortality. Reoperative rates were classified into major (e.g., repeat craniotomy, cranioplasty) or minor (e.g., hardware removal, wound closure).

RESULTS: After excluding patients for length of follow-up less than 6 months (n = 23), inadequate verification of all data (n = 21), and prior neurosurgical craniectomy (n = 18), a total of 314 patients were identified. The percentage of patients with complications and reoperations was 39.2% (n = 123). The rates of major reoperation (n = 72), minor reoperation (n = 41), and various complications (n = 10) were 22.9%, 13.1%, and 3.2%, respectively. No mortalities were identified.

CONCLUSIONS: Differing types of fixation, diagnosis of syndrome, and multiple-suture craniosynostosis were statistically correlated to increased reoperative rates. Age at initial operation and sex were not correlated to increased reoperative rates. Finally, this institution's complication and reoperative rates compare with other published results.

Author List

Pearson GD, Havlik RJ, Eppley B, Nykiel M, Sadove AM

Author

Robert Havlik MD Chair, Professor in the Plastic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Age Factors
Child
Child, Preschool
Craniosynostoses
Craniotomy
Device Removal
Female
Hospitalization
Humans
Infant
Length of Stay
Male
Orthopedic Fixation Devices
Patient Readmission
Postoperative Complications
Reoperation
Retrospective Studies
Sex Factors
Treatment Outcome