Long-term outcomes of primary craniofacial reconstruction for XXXX : a 12-year experience.

@entity1 @entity8213 @entity5173 @entity1410 @entity91
BACKGROUND: The purpose of this study was to critically assess long-term outcomes after open reconstruction of @entity91 within the recent decade. METHODS: The authors performed a retrospective, institutional review board-approved review of open repair for @entity91 between 1997 and 2009. Surgical factors, complications, and long-term outcomes were assessed. Pearson chi-square, Fisher's exact, and Kaplan-Meier analyses were performed. RESULTS: Of 212 @entity1 , 72 underwent primary extended synostectomy and 140 had traditional open craniofacial repair. Mean follow-up was 36.3 months (range, 0.5 to 138 months). Indications included sagittal (n = 96), metopic (n = 40), unicoronal (n = 33), bicoronal (n = 24), multisutural (n = 15), bilambdoidal (n = 3), and unilambdoidal (n = 1) synostoses; 8.5 percent of @entity1 were syndromic. Surgical reconstruction was performed at a mean age of 11.3 months (range, 0.2 to 117.8 months), including nonsyndromic @entity1 at an average age of 10.6 months and syndromic @entity1 at age 19.3 months. There were no deaths. A 3.3 percent complication rate included two cerebral contusions, two @entity1410 , one @entity5173 , and one wound breakdown. @entity1 were categorized as 89.2 percent Whitaker class I/II and 10.8 percent Whitaker class III/IV. Major and total reoperation rates were 9.0 percent and 10.8 percent, respectively. Higher total reoperation rate and Whitaker class III/IV distribution significantly correlated with syndromic diagnosis, @entity8213 , and surgical age younger than 6 months. CONCLUSIONS: In this experience of contemporary open @entity91 surgery, rates of morbidity, mortality, and reoperation were low. These results support the merits of surgical delay, targeting an age of 6 months or older, and may serve as a more accurate metric of comparison to current minimally invasive techniques for @entity91 repair.
