title: [DEMOGRAPHIC AND ANATOMIC CHARACTERISTICS AND SURGERY RESULTS IN CHILDREN WHO WERE TREATED IN SOROKA FOR CRANIOSYNOSTOSIS].
abstract: BACKGROUND
  Craniosynostosis, the premature fusion of one or more of the cranial sutures, can occur as a part of a syndrome or as an isolated deformity. When not treated properly it may have major physical and social implications.
  
  
  OBJECTIVE
  We assumed that our center's results are similar to those reported in the literature, in terms of gender and anatomic characteristics, and different in terms of the number of syndromic cases. We also assume that only a few patients needed a second surgery and that this medical problem effects quality of life in term of cognitive impairment and aesthetic results.
  
  
  METHODS
  A retrospective chart review was conducted of patients who were treated for craniosynostosis in Soroka University Medical Center between the years 1991-2005.
  
  
  RESULTS
  A total of 63 patients were treated in Soroka during those years: 30 (47.6%) were females and 33 (50.8%) were males; 27 (42.9%) had coronal synostosis, 20 (31.8%) had sagital synostosis, 10 (15.8%) had metopic synostosis, 5 (7.9%) had lambdoid synostosis. A total of 5 (7.9%) cases were syndromic and the rest were isolated; 6 patients (9.5%) needed a second surgery for correction of the defect; 8 out of 30 patients (26.7%) 6 years or older at the present time suffer from attention deficit disorder. Parents' satisfaction from aesthetic results on a scale of 1-5 was 4.77 with SD of 0.504, while the doctors' score was 3.93 with SD 0.980 (p = 0.01).
  
  
  CONCLUSIONS
  Craniosynostosis is a complex surgical problem, however with prompt treatment it may attain high levels of satisfaction among parents and patients. We found high rates 26.7% vs 10% (in the general population) of ADD in children affected by the disease.
authors.forename: Odelya
authors.initials: O
authors.lastname: Perets
authors.forename: Zvi Howard
authors.initials: ZH
authors.lastname: Perry
authors.forename: Lior
authors.initials: L
authors.lastname: Rosenberg
authors.forename: Eldad
authors.initials: E
authors.lastname: Silberstein
authors.forename: Reuben
authors.initials: R
authors.lastname: Gurphinkel
authors.forename: Avi
authors.initials: A
authors.lastname: Cohen
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology / Q000209:etiology; D002648:Child; D003072:Cognition Disorders / Q000453:epidemiology / Q000209:etiology; D003398:Craniosynostoses / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000601:surgery; D003399:Craniotomy / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology*; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D012086:Reoperation / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies