Management of sagittal craniosynostosis: morphological comparison of eight surgical techniques

Br J Oral Maxillofac Surg. 2022 May;60(4):499-506. doi: 10.1016/j.bjoms.2021.09.017. Epub 2021 Oct 5.

Abstract

The aim of this study was to carry out a retrospective multicentre study comparing the morphological outcome of 8 techniques used for the management of sagittal synostosis versus a large cohort of control patients. Computed tomographic (CT) images were obtained from children CT-scanned for non-craniosynostosis related events (n = 241) and SS patients at preoperative and postoperative follow-up stages (n = 101). No significant difference in morphological outcomes was observed between the techniques considered in this study. However, the majority of techniques showed a tendency for relapse. Further, the more invasive procedures at older ages seem to lead to larger intracranial volume compared to less invasive techniques at younger ages. This study can be a first step towards future multicentre studies, comparing surgical results and offering a possibility for objective benchmarking of outcomes between methods and centres.

Keywords: Craniofacial growth; Development; Intracranial volume; Sagittal craniosynostosis; Skull.

Publication types

  • Multicenter Study

MeSH terms

  • Child
  • Craniosynostoses* / diagnostic imaging
  • Craniosynostoses* / surgery
  • Craniotomy / methods
  • Humans
  • Infant
  • Jaw Abnormalities* / surgery
  • Plastic Surgery Procedures* / methods
  • Retrospective Studies
  • Skull / surgery
  • Tomography, X-Ray Computed