{Reference Type}: Journal Article
{Title}: Experiences of surgical complications and reoperations in nonsyndromic sagittal synostosis patients in Oulu.
{Author}: Svalina A;Serlo W;Sinikumpu JJ;Salokorpi N;
{Journal}: Childs Nerv Syst
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jun 28
{Factor}: 1.532
{DOI}: 10.1007/s00381-024-06519-0
{Abstract}: <B>OBJECTIVE: </B>The purpose of this study was to evaluate the surgical complications of patients treated for nonsyndromic sagittal craniosynostosis and the necessity for reoperations due to craniocerebral disproportion.<BR><B>METHODS: </B>The patient cohort of this study consisted of patients (N = 82) who were treated in the Oulu University Hospital using the open vault cranioplasty with a modified H-technique between the years 2008 to 2022. There were 69 males (84.1%) and 13 females (15.9%). The mean age at the primary operation was 6.1 months. Mean follow-up time was 9.0 years.<BR><B>RESULTS: </B>There were no major complications related to the procedures. Two patients (2.4%) had a minor dural lesion. There were no postoperative wound infections. Of the 82 patients, seven patients with primary craniosynostosis (13.0%) developed symptomatic craniocerebral disproportion requiring reoperation to increase intracranial volume. In all these patients, invasive intracranial pressure (ICP) monitoring was performed prior to decision-making. In the majority of cases, the aesthetical outcome was considered good or excellent.<BR><B>CONCLUSIONS: </B>The operative method used was feasible and safe. Thirteen percent of patients who were followed over 5 years required major surgery due to development of craniocerebral disproportion later in life.