Clinical analysis of the complications of 61 craniosynostosis cases after cranial vault remolding
10.3760/cma.j.cn114453-20210603-00246
- VernacularTitle:61例颅缝早闭症患儿颅骨重塑术相关并发症分析
- Author:
Yi YANG
1
;
Chenbin DONG
;
Cheng FANG
;
Xiuya YE
Author Information
1. 复旦大学附属儿科医院整形外科，上海 201102
- Keywords:
Craniosynostoses;
Surgical procedures, operative;
Intraoperative complications;
Postoperative complications
- From:
Chinese Journal of Plastic Surgery
2021;37(12):1356-1359
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the complications of case with craniosynostosis after cranial vault remolding.Methods:The clinical data with craniosynostosis who underwent cranial vault remolding in our hospital from January 2012 to January 2018 were selected and retrospectively analyzed.Results:There were 61 children, including 42 males and 19 females. Among them 17 with scaphocephaly, mean age at surgery was 8.2 months (range, 6-48 months); 13 with trigonocephaly, mean age at surgery 13 months (range, 6-29 months) ; 17 with plagiocephaly, mean age at surgery 15.2 months (range, 7-48 months); 14 with syndromic craniosynostosis, mean age 18.7 months (range, 6-60 months). Complications occurred in 15 cases of 13 children, including 1 death case (1.6%), who died of severe pneumonia from adenovirus infection in pediatric intensive care unit(PICU). Two cases suffered with cerebrospinal fluid leakage (3.3%) , which was self-healed after 2 weeks; three with dural defects(4.9%) , which were treated with dural repair and manual patch covering; 5 with conjunctivitis(8.2%), which was cured with eyedrops; 1 with occipital pressure ulcers(1.6%), which was cured with debridement and dressing; 3 with occipital bald(4.9%), one of which was caused by the above-mentioned occipital pressure ulcers. These three cases are followed up for further observations.Conclusions:Complications related to cranial vault remolding have various manifestations, and severe cases can be life-threatening. It is very important to actively prevent and promptly treat relevant issues after surgery.
