未经证实:内镜下缝合术(ESCH)已成为颅骨融合的成功治疗方法,最初在北美。我们报告了在英国(UK)接受治疗的第一批ESCH患者的早期结果。
UNASSIGNED:电子图表回顾的回顾性队列研究。
UNASSIGNED:从英国首次ESCH手术(2017年5月)到2020年1月,确定了18例连续患者。12名男性和6名女性婴儿,平均年龄4.6个月(范围2.5-7.8个月),体重6.8公斤(范围4.8-9.8公斤)。诊断为异位(n=8),单音(n=7),矢状(n=2)和多缝线(n=1)滑膜。平均切口长度为3cm(范围2-10cm)。16/18没有收到血液制品,2(两种方法)需要输血(1供体暴露)。平均手术时间(包括麻醉)为96分钟(范围40-127分钟)。住院时间的中位数为1晚。1例手术并发症(浅表感染)。所有患者目前都在接受头盔矫形器治疗。到目前为止,没有患者需要进行修正或斜视手术。
UNASSIGNED:来自英国ESCH第一个队列的早期经验表明,这是一种安全且耐受性好的技术,发病率低,输血和住院时间短。形状方面的长期结果,等待美容和发育结果。
UNASSIGNED: Endoscopic suturectomy with postoperative helmeting (ESCH) has emerged as a successful treatment for craniosynostosis, initially in North America. We report early outcomes from the first cohort of ESCH patients treated in the United Kingdom (UK).
UNASSIGNED: Retrospective cohort study with electronic chart review.
UNASSIGNED: 18 consecutive patients from the first ESCH procedure in UK (May 2017) until January 2020 identified. 12 male and 6 female infantsd, with a mean age of 4.6 months (range 2.5-7.8 months) and weight of 6.8 kg (range 4.8-9.8 kg). Diagnoses were metopic (n = 8), unicoronal (n = 7), sagittal (n = 2) and multi-sutural (n = 1) synostoses. Median incision length was 3 cm (range 2-10 cm). 16/18 received no blood products, with 2 (both metopics) requiring transfusion (1 donor exposure). Mean operative time (including anaesthesia) was 96 min (range 40-127 min). Median length of hospital stay was 1 night. 1 surgical complication (superficial infection). All patients are currently undergoing helmet orthosis therapy. So far, no patients have required revisional or squint surgery.
UNASSIGNED: Early experience from the first UK cohort of ESCH suggests that this is a safe and well tolerated technique with low morbidity, transfusion and short hospital stay. Long-term results in terms of shape, cosmetic and developmental outcome are awaited.