Sagital Kraniosinostoz Tanılı Bebeklerde Endoskopik Süturektomi Sonrası Kask Tedavisinin Uzun Süreli Takibi

Abstract

Objective: Infants with sagittal craniosynostosis are treated with endoscopic suturectomy and remodeling helmets. The long term effects and the effects that occur after the completion of remodeling helmet treatment have not been investigated. The purpose of this study is to investigate the long term effects of remodeling helmet and effects that occur after the completion of remodeling helmet treatment. Material and Methods: 14 infants were included in the study. The children were assessed post-op, after the completion of remodeling helmet and at 6 months’ follow-up using a 3D laser acquisition system. The anterior-posterior(AP), medio-lateral(ML) cranial measurements, cranial circumference(CC), diagonal measurements, cephalic ratio(CR) and cranial vault asymmetry index(CVAI) were assessed. Results: The infants used the remodeling helmet for 35±3.4 weeks. When the post-op and completion results are examined, it can be seen that during remodeling helmet usage duration, AP, ML, CC measurements, the CR and CVAI have statistically improved, resulting in normalization of cranial shape (p<0.05). When the follow up results are examined, it can be seen that there was no deterioration in the symmetry of the cranial shape and the AP, ML, CC measurements and the CR and CVAI were preserved (p>0.05) whilst the infants’ craniums continued to grow at a normal rate. Conclusion: The present study shows that when remodeling helmet therapy is completed, cranial development continues at normal rates. There is no deterioration in cranial symmetry in the long term, and the effectiveness of the treatment continues after the remodeling helmet therapy is completed.