Operative Correction Outcome in Infants or Children with Non-syndromic Craniosynostosis: A survey in Mofid Craniofacial Surgery Center of Iran

Abstract

Object: This paper attempts to survey the prevalence of craniosynostosis phenotypes and age range at point of operation for each of them regarding the surgical method in patients who underwent two types of surgery methods including suturectomy and cranioplasty at a single major craniofacial surgery center in Iran.

Materials and Methods: In a retrospective investigation, personal, clinical and paraclinical data were extracted from medical records of 250 operated infants/children with non-syndromic craniosynostosis. The surgical outcome difference between suturectomy and cranioplasty undergone population was compared. Prevalence of synostosis phenotypes was accounted; age range of subjects when operated was measured with attention to type of craniosynostosis and operation procedure.

Results: Schaphocephaly (40%) and anterior plagiocephaly (28.8%) were prevalently delineated among phenotypes respectively. The patients underwent surgery mostly aged 2-4 months (40.04%). Suturectomy (80%) and schaphocephaly (65%) were frequently appointed in this subcategory of age. Good recovery grade was apperceived in most of patients (92.8%). Overall, patients with oxcycephaly had not good recovery outcome. The type of operative method did not significantly effect on outcome. It was revealed that anterior plagiocephaly was most frequent in females, however; trigonocephaly and scaphocephaly were most common phenotypes in male ones.

Conclusions: It seems that age at surgery is an important factor to prognosticate operative outcome in all phenotypes except oxycephaly. We claim that age at point of surgery is an extremely crucial criterion to achieve good recovery versus operative method. Accordingly, the reason of lost meaningful distinctive outcome between suturectomy and cranioplasty undergone subjects may be concealed on equality of age range in both operative methods.