title: Surgical correction of craniosynostosis. A review of 100 cases.
abstract: OBJECTIVE
  Provide outcome data for open cranial vault reshaping at a single institution by a single craniofacial surgeon treating 100 patients.
  
  
  METHODS
  A total of 100 patient records were reviewed. Criteria for selection included patients less than three years of age undergoing primary surgery with open cranial vault reshaping and a minimum follow up time of 2 years.
  
  
  RESULTS
  Of the 100 patients (27 female, 73 male) treated 6 were syndromic and 94 nonsyndromic. Average age and weight were 8.9 months and 9.51 kg, respectively. The oldest child was 30 months and the youngest 5 months at the time of surgery. The estimated blood volume lost was 42.7% of total calculated blood volume ranging from 16.6% to 336%. Average surgical time was 216.7 min. Complications included 2 hematomas, 2 wound infections, 1 subgaleal abscess, 6 dural tears, 3 patients requiring reoperation for residual deformity, 4 cases requiring coronal scar revision, 1 sagittal sinus bleed, and 1 intraoperative death.
  
  
  CONCLUSIONS
  Our review of 100 open repairs of patients with craniosynostosis demonstrates good long-term results with an overall low complication rate. The outcome data will assist in developing future prospective studies aimed at improving the multidisciplinary care of these patients.
authors: Department of Oral & Maxillofacial Surgery, Louisiana State University School of Medicine - Shreveport, USA.
authors: George M
authors: GM
authors: Zakhary
authors: Department of Oral & Maxillofacial Surgery, Louisiana State University School of Medicine - Shreveport, USA.
authors: David M
authors: DM
authors: Montes
authors: Department of Oral & Maxillofacial Surgery, Louisiana State University School of Medicine - Shreveport, USA.
authors: Jennifer E
authors: JE
authors: Woerner
authors: Department of Neurosurgery, Louisiana State University School of Medicine - Shreveport, USA.
authors: Christina
authors: C
authors: Notarianni
authors: Department of Oral & Maxillofacial Surgery, Louisiana State University School of Medicine - Shreveport, USA. Electronic address: gghali@lsuhsc.edu.
authors: G E
authors: GE
authors: Ghali
mesh_terms: D000038:Abscess / Q000209:etiology; D020341:Absorbable Implants; D016063:Blood Loss, Surgical; D001860:Bone Plates; D002423:Cause of Death; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery; D003392:Cranial Sinuses / Q000473:pathology; D003398:Craniosynostoses / Q000145:classification / Q000601:surgery*; D003399:Craniotomy / Q000295:instrumentation / Q000379:methods*; D004388:Dura Mater / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007223:Infant; D020300:Intracranial Hemorrhages / Q000209:etiology; D008297:Male; D061646:Operative Time; D059041:Plagiocephaly / Q000601:surgery; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology; D013577:Syndrome; D016896:Treatment Outcome
keywords: Cranial vault; Craniosynostosis; Plagiocephaly; Scaphocephaly