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Academia Mexicana de Neurología, A.C.

2018, Number 1

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Rev Mex Neuroci 2018; 19 (1)

Surgical management of craniosynostosis in a second level hospital. 5 years' experience

Dávalos-Ruiz E, Haro-Acosta ME, Soria-Rodríguez CG, Lopez-Lopez L, Román-Matus A

Language: Spanish
References: 28
Page: 117-126
PDF size: 336.43 Kb.


ABSTRACT

Introduction: craniosynostosis is caused by the early closure of skull sutures in the child, this can be classified in relation to affected sutures or if it is associated with a genetic syndrome. The definitive diagnosis is made with tomography and the management must be surgical, together with other disciplines. There is evidence of the management of this pathology in hospitals of third level of care but scarce in a second level.
Objective: to characterize patients with craniosynostosis surgically treated in a second level hospital during the 2011-2016 period.
Method: retrospective study where 24 records were reviewed, the variables of sex, age at surgery, type of craniosynostosis, surgical technique used, use of absorbable miniplates and postoperative complications were analyzed, after authorization by the Local Research Committee and the director of the hospital.
Results: we analyzed 24 cases of patients with a diagnosis of craniosynostosis, surgically operated in the HGP / MF 31 of IMSS in Mexicali, B.C., during the period 2011-2016, of which 9 were girls and 15 children. The mean age at the time of surgery was 10.5 months. The type of craniosynostosis by gender, in girls the previous plagiocephaly was the most common in 16.6%. In children, scaphocephaly predominated in 29.2%. The age at the time of surgery varied in relation to the type of craniosynostosis; the most used surgical technique was modified calvarectomy in 37.5%. In all surgeries, absorbable miniplates were used, except for modified calvarectomy. In only one case surgical wound infection occurred.
Conclusion: this study shows that this type of surgeries can be performed in a hospital of second level of care, as long as they have trained staff and the necessary equipment.


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