Single sagittal craniosynostosis surgical treatment with the “Peau d́ours” technique. Single-center experience in Mexico

Arenas-Ruiz, José Ascención; Martínez-Maldonado, Horus; Hernández-Segura, Natalia Edith; Villarreal-Silva, Eliud Enrique; González-Carranza, Vicente; Torres-García, Samuel; León, Fernando Chico-Ponce de

doi:10.1016/j.jocn.2022.02.016

Cited by 2 publications

(12 citation statements)

References 16 publications

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“…A total of 49 manuscripts with 3316 patients were included in this study. Articles were categorized based on the average age at intervention; 0 to 6, older than 6 to 12, and older than 12 months 3,7–53 . Fifteen of the manuscripts included more than 1 age group, thus they are mentioned in different cohorts 10,11,13,23,30–32,40,43,45,49,50,52,54 .…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen of the manuscripts included more than 1 age group, thus they are mentioned in different cohorts 10,11,13,23,30–32,40,43,45,49,50,52,54 . From the 49 articles, 36 (n=2141) included patients 0 to 6 months old, 15 (n=669) discussed patients older than 6 to 12 months old, and 9 (n=506) evaluated patients older than 12 months old 3,7–53 . Follow-up ranged from 12 to 144 months 3,7–53 .…”

Section: Resultsmentioning

confidence: 99%

“…From the 49 articles, 36 (n=2141) included patients 0 to 6 months old, 15 (n=669) discussed patients older than 6 to 12 months old, and 9 (n=506) evaluated patients older than 12 months old 3,7–53 . Follow-up ranged from 12 to 144 months 3,7–53 . Over 8 different types of open surgical techniques were identified and up to 5 different minimally invasive procedures were described 10,11,13,23,30–32,40,43,45,49,50,52,54 …”

Section: Resultsmentioning

confidence: 99%

“…Minimally invasive procedures were exclusively seen in the youngest cohort (0–6 mo) 3,7–53 . Four studies compared different surgical approaches (open versus minimally invasive) within the same age group (0–6 mo) 30,32,41,54 .…”

Section: Resultsmentioning

confidence: 99%

“…Four studies compared different surgical approaches (open versus minimally invasive) within the same age group (0–6 mo) 30,32,41,54 . Patients in the more than 6- to 12-month-old cohort and more than 12-month-old cohort underwent open surgical interventions only 10–16,19,21–23,26,27,31,33,34,40,43,45,49–52 . Twelve manuscripts compared different surgical techniques within different age groups 10,13,14,23,31,41,43,45,49,50,52 …”

Section: Resultsmentioning

confidence: 99%

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Sagittal Craniosynostosis: Treatment and Outcomes According to Age at Intervention

Franco-Mesa,

Shah,

Konofaos

2023

Journal of Craniofacial Surgery

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The purpose of this study is to describe the treatment strategies and outcomes of nonsyndromic single-suture sagittal craniosynostosis based on the patient’s age at intervention. Studies from MEDLINE, Scopus, and Cochrane Central Register of Controlled Trials were systematically searched for patients with nonsyndromic single-suture sagittal craniosynostosis. Inclusion criteria encompassed studies with follow-up of at least 12 months, minimum of 25 patients per cohort, and first-time surgical intervention. The risk of bias in nonrandomized studies of intervention tool [Risk Of Bias In Non-randomized Studies—of Interventions (ROBINS-I)] was applied. A total of 49 manuscripts with 3316 patients met criteria. Articles were categorized based on age at intervention; 0 to 6, older than 6 to 12, and older than 12 months. Fifteen of the manuscripts described interventions in more than 1 age group. From the 49 articles, 39 (n=2141) included patients 0 to 6 months old, 15 (n=669) discussed patients older than 6 to 12 months old, and 9 (n=506) evaluated patients older than 12 months old. Follow-up ranged from 12 to 144 months. Over 8 types of open surgical techniques were identified and 5 different minimally invasive procedures were described. Minimally invasive procedures were exclusively seen in the youngest patient cohort, while open cranial vault reconstructions were often seen in the 2 older cohorts. Endoscopic surgery and open conservative procedures are indicated for younger patients, while complex open cranial vault reconstructions are common in older patients. However, there is no consensus on one approach over the other. Even with the analysis of this review, we cannot factor a strong conclusion on a specific technique.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Sagittal Craniosynostosis: Treatment and Outcomes According to Age at Intervention

Franco-Mesa,

Shah,

Konofaos

2023

Journal of Craniofacial Surgery

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Insights into craniosynostosis management in low- and middle-income countries: A narrative review of outcomes, shortcomings and paediatric neurosurgery capacity

Wireko,

Ahluwalia,

Ali

et al. 2024

SAGE Open Medicine

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Craniosynostosis, marked by premature cranial suture fusion, necessitates prompt intervention to avert developmental, neurological, and aesthetic issues. While high-income countries have advanced in managing this condition, low- and middle-income countries grapple with substantial healthcare access disparities. This narrative review explores current craniosynostosis management in low- and middle-income countries. The review focused on studies published between 2008 and 2023. The focus was neurosurgical outcomes, and the search utilised databases like PubMed, EMBASE, Google Scholar, the Cochrane Library and Scopus, incorporating specific keywords and phrases. An in-depth analysis of 21 included studies reveals noteworthy positive outcomes, including low mortality, successful corrections and sustained efficacy. These advancements stem from enhanced pre-operative strategies, surgical techniques and postoperative care. Nonetheless, challenges persist, encompassing complications, mortality, reoperations, and treatment disparities, particularly in low- and middle-income countries constrained by financial and expertise limitations. The enhancement of clinical practice and the formulation of effective policies in the future entail several key strategies. These include the reinforcement of specialised healthcare infrastructure and diagnostic capabilities, the ongoing training and retention of neurosurgeons, the improvement of funding mechanisms, and the promotion of equitable access. Additionally, a crucial focus is placed on fortifying paediatric neurosurgical care in low- and middle-income countries. The recommendations underscore the importance of collaborative initiatives, the development of specialised healthcare infrastructure, and the implementation of strategic policies to not only advance pediatric neurosurgical care but also to address existing gaps in management.

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Single sagittal craniosynostosis surgical treatment with the “Peau d́ours” technique. Single-center experience in Mexico

Cited by 2 publications

References 16 publications

Sagittal Craniosynostosis: Treatment and Outcomes According to Age at Intervention

Sagittal Craniosynostosis: Treatment and Outcomes According to Age at Intervention

Insights into craniosynostosis management in low- and middle-income countries: A narrative review of outcomes, shortcomings and paediatric neurosurgery capacity

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