A Six-Year Retrospective Evaluation of Craniosynostosis Patients in a Tertiary Center: Surgical, Cognitive, and Aesthetic Outcomes
Bildiriler > Özet Bildiri · 2025
Yazarlar: Elif Ezgi ÇENBERLİTAŞ, Anıl EROL, Elif BOLAT
ISPN 2025: 51 st Annual Meeting of the International Society for Pediatric Neurosurgery, Fransa, Lyon, Uluslararası, Sözlü Sunum, Özet Bildiri, 2025-2025, Scopus, cilt 41, ss 331-331
Özet
<p><strong style="color: rgb(34, 34, 34);">Objective:</strong><span style="color: rgb(34, 34, 34);"> This study aimed to evaluate the clinical characteristics, surgical outcomes, aesthetic satisfaction levels, and neurodevelopmental follow-up findings of craniosynostosis patients who underwent surgical treatment in our tertiary care clinic.</span></p><p><strong style="color: rgb(34, 34, 34);">Material and Methods:</strong><span style="color: rgb(34, 34, 34);"> A total of 69 patients who underwent surgery for craniosynostosis between 2018 and 2024 in our institution were retrospectively analyzed. Cognitive development, speech, social adaptation, and need for special education were assessed through structured interviews with families. Aesthetic satisfaction was scored by parents on a 0–10 numeric scale. Cephalic index measurements were obtained preoperatively, postoperatively, and at available follow-up time points (3, 6, 12, 24, and 36 months). For each craniosynostosis subtype, one-sample t-tests were used to assess whether cephalic index values approached the normative range (80–85).</span></p><p><strong style="color: rgb(34, 34, 34);">Results:</strong><span style="color: rgb(34, 34, 34);"> The mean surgical age was 9 months. Six patients were syndromic. Trigonocephaly, scaphocephaly, plagiocephaly, brachycephaly, and multisuture synostosis were observed in 22 (31.9%), 19 (27.5%), 15 (21.7%), 10 (14.5%), and 3 (4.3%) patients, respectively. The mean hospital stay was 4.8 days; two patients required postoperative intensive care. One revision surgery and two wound revisions were performed. No surgery-related mortality or permanent morbidity was observed.Strabismus was present in 20 patients, with postoperative improvement reported in 8 of them. The mean parental satisfaction score regarding postoperative cranial shape was 8.6 out of 10. No cognitive issues were reported in non-syndromic patients, but 11 had delayed speech.In patients with scaphocephaly (n=19), a significant postoperative increase in cephalic index values was observed, reaching 75–78 by 24 months. This improvement was statistically significant (p<0.05). In other subtypes as well, long-term cephalic index values tended to approach the normative range.</span></p><p></p><p><strong style="color: rgb(34, 34, 34);">Conclusion:</strong><span style="color: rgb(34, 34, 34);"> Craniosynostosis surgery provided satisfactory aesthetic outcomes and showed potential for improvement in associated conditions such as strabismus. Longitudinal cephalic index measurements, along with parental feedback, demonstrated that surgical intervention effectively contributed to normalization of cranial shape.</span></p><p></p><p></p>