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Retrospective Review of Craniosynostosis Cases: Bursa Uludağ University Experience

Year 2024, Volume: 50 Issue: 1, 85 - 88, 17.05.2024
https://doi.org/10.32708/uutfd.1426425

Abstract

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.

References

  • 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

Year 2024, Volume: 50 Issue: 1, 85 - 88, 17.05.2024
https://doi.org/10.32708/uutfd.1426425

Abstract

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.

Ethical Statement

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

References

  • 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.
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Surgery (Other)
Journal Section Research Article
Authors

Rabia Nur Balçın 0000-0003-3928-8606

Hanside Setenay Ünal 0000-0003-3546-3200

Pınar Eser Ocak 0000-0003-0132-9927

Mevlüt Özgür Taşkapılıoğlu 0000-0001-5472-9065

Publication Date May 17, 2024
Submission Date January 26, 2024
Acceptance Date May 8, 2024
Published in Issue Year 2024 Volume: 50 Issue: 1

Cite

APA Balçın, R. N., Ünal, H. S., Eser Ocak, P., Taşkapılıoğlu, M. Ö. (2024). Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 50(1), 85-88. https://doi.org/10.32708/uutfd.1426425
AMA Balçın RN, Ünal HS, Eser Ocak P, Taşkapılıoğlu MÖ. Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi. Uludağ Tıp Derg. May 2024;50(1):85-88. doi:10.32708/uutfd.1426425
Chicago Balçın, Rabia Nur, Hanside Setenay Ünal, Pınar Eser Ocak, and Mevlüt Özgür Taşkapılıoğlu. “Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi”. Uludağ Üniversitesi Tıp Fakültesi Dergisi 50, no. 1 (May 2024): 85-88. https://doi.org/10.32708/uutfd.1426425.
EndNote Balçın RN, Ünal HS, Eser Ocak P, Taşkapılıoğlu MÖ (May 1, 2024) Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi. Uludağ Üniversitesi Tıp Fakültesi Dergisi 50 1 85–88.
IEEE R. N. Balçın, H. S. Ünal, P. Eser Ocak, and M. Ö. Taşkapılıoğlu, “Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi”, Uludağ Tıp Derg, vol. 50, no. 1, pp. 85–88, 2024, doi: 10.32708/uutfd.1426425.
ISNAD Balçın, Rabia Nur et al. “Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi”. Uludağ Üniversitesi Tıp Fakültesi Dergisi 50/1 (May 2024), 85-88. https://doi.org/10.32708/uutfd.1426425.
JAMA Balçın RN, Ünal HS, Eser Ocak P, Taşkapılıoğlu MÖ. Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi. Uludağ Tıp Derg. 2024;50:85–88.
MLA Balçın, Rabia Nur et al. “Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi”. Uludağ Üniversitesi Tıp Fakültesi Dergisi, vol. 50, no. 1, 2024, pp. 85-88, doi:10.32708/uutfd.1426425.
Vancouver Balçın RN, Ünal HS, Eser Ocak P, Taşkapılıoğlu MÖ. Kraniosinostoz Olgularının Retrospektif İncelenmesi: Bursa Uludağ Üniversitesi Deneyimi. Uludağ Tıp Derg. 2024;50(1):85-8.

ISSN: 1300-414X, e-ISSN: 2645-9027

Uludağ Üniversitesi Tıp Fakültesi Dergisi "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License" ile lisanslanmaktadır.


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Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

2023