Long-term results of minimally invasive strip craniectomy without helmet therapy for scaphocephaly - a single-centre experience.

Lutz, Katharina; Röhrig, Andreas; Al-Hourani, Jasmin; Kunze, Sandra; Forkosh, Jana; Wermelinger, Jonathan; Messing-Jünger, Martina (2024). Long-term results of minimally invasive strip craniectomy without helmet therapy for scaphocephaly - a single-centre experience. Neurosurgical review, 47(164) Springer 10.1007/s10143-024-02406-z

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Scaphocephaly is the most common type of craniosynostosis and various surgical techniques are used for treatment. Due to late postoperative changes of the head shape, long-term outcome data is important for evaluating any new surgical technique. At our institution, minimally invasive strip craniectomy without regular helmet therapy is the standard treatment in scaphocephalic patients. Between October 2021 and February 2023, we retrospectively examined the skull shape of patients who underwent minimally invasive strip craniectomy for scaphocephaly using a 3D surface scan technique. The cephalic index (CI), the need for helmet therapy and additional cosmetic outcome parameters were investigated. We included 70 patients (72.5% male). The mean follow-up time was 46 (10-125) months and the mean CI was 75.7 (66.7-85.2). In 58 patients, the final cosmetic result was rated as "excellent/good" (mean CI: 76.3; 70.4-85.0), in 11 as "intermediate" (mean CI: 73.3; 66.7-77.6), and in one case as "unsatisfactory" (CI 69.3). The presence of a suboccipital protrusion was associated with a "less than good" outcome. The CI correlated significantly with the overall outcome, the presence of frontal bossing, and the interval between scan and surgery (age at scan). Minimally invasive strip craniectomy is an elegant and safe method to correct scaphocephaly. Our data show good cosmetic results in the long term even without regular postoperative helmet therapy.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Lutz, Katharina Sarah Jennifer, Wermelinger, Jonathan

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0344-5607

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

18 Apr 2024 09:08

Last Modified:

18 Apr 2024 09:17

Publisher DOI:

10.1007/s10143-024-02406-z

PubMed ID:

38630329

Uncontrolled Keywords:

Craniosynostosis Helmet therapy Long-term outcome Minimally invasive strip craniectomy Sagittal craniosynostosis Scaphocephaly

BORIS DOI:

10.48350/196059

URI:

https://boris.unibe.ch/id/eprint/196059

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