Treatment of XXXX with combined vertex craniectomy and bilateral microbarrel staving.

@entity91 @entity1
INTRODUCTION AND BACKGROUND: Surgical techniques for the treatment of @entity91 continue to evolve; however, there is still no accepted criterion standard. Until recently, the Alder Hey supraregional craniofacial department's experience was principally with combined wide-vertex suturectomy and biparietal barrel stave osteotomies. AIMS AND OBJECTIVES: To determine whether the technique of wide-vertex suturectomy and biparietal barrel stave osteotomies improves the cephalic index (CI) in scaphocephalic @entity1 and determine whether age at surgery influences outcomes. @entity1 AND METHODS: A literature review was undertaken to confirm recognized outcome measures. @entity1 who had surgery between 2000 and 2006 were enrolled in the audit. Prospective database review allowed preoperative and postoperative data collection at 6 weeks, 6 months, and 2 years. Statistical analysis was performed with Statview V.5.0.1 (Adept Scientific, Letchworth, UK). RESULTS: Of 73 @entity1 referred to the unit with @entity91 , 66 underwent surgery. Of these 66 @entity1 , 54 were @entity1 and 12 @entity1 . Mean age at surgery was 11.1 months, with a mode of 6 months and a median of 8 months (range, 4-56 mo). Mean change in CI from the preoperative value was significant at 6 weeks (P < 0.0001) and 6 months (P < 0.0001) after surgery. Early correction of @entity91 ( <= 9 mo) was associated with a normal CI at 6 weeks after surgery (P = 0.03). CONCLUSIONS: Wide-vertex suturectomy with biparietal barrel stave osteotomies are effective at increasing the CI in @entity1 with @entity91 . Early correction is associated with an improved CI in the short term, but long-term outcomes are unclear and require further follow-up studies.
