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SM ISO690:2012 BAJUREA, Ala, ILICIUC, Ion. Craniosynostosis surgical treatment aspects. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 125. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X. |
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Perspectives of the Balkan medicine in the post COVID-19 era Ediția 37, 2023 |
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Congresul "Perspectives of the Balkan medicine in the post COVID-19 era" 37, Chişinău, Moldova, 7-9 iunie 2023 | ||||||
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Pag. 125-125 | ||||||
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Introduction. Craniostenosis is a major health issue in pediatric pathology. These malformations are characterized by premature closure of one or more cranial sutures, which have repressions for intracranial content. The incidence is about 1:2000 of newborns. Material and methods. The study has analysed the surgical treatment outcomes of 66 children, 45 male and 21 female (ratio 2.1:1) aged from 3 months to 5 years, diagnosed with craniostenosis, admitted to "Natalia Gheorghiu" Pediatric Surgery Center of PMHI Mother and Child Institute from 2018-2022. Of which, dolichocephaly (sagittal suture synostosis) was found in 40 (60%) children, trigonocephaly (metopic suture synostosis) in 18 (27.2%), plagiocephaly (unilateral coronal suture synostosis) in 6 (9%), acrobrachycephaly (bilateral synostosis of the coronary suture) in 1 (1.5%) child and turricephaly (synostosis of sagital metopic and both sides of coronal sutures) in 1 (1,5%) child. Preoperative planning included brain CT with 3D skull reconstruction, craniometric measurement, and neurological examination. Results. Currently, no standard surgical intervention is used in craniosynostosis, whereas the craniectomy is carried out according to each type. Craniectomy allows for normal cranial expansion and thus, brain development. Moreover, it prevents an increase in intracranial pressure and provides good functional and cosmetic results. In cases of dolichocephaly, bilateral paramedian craniotomy was performed; in patients with trigonocephaly, plagiocephaly, acrobrachycephaly, and turiccephaly, as well as in those with complex bone deformities, wide bifrontal osteotomy and remodeling of the frontal bone were carried out. Conclusions. The present study has shown that early surgery prevents or suppresses the increase in the intracranial pressure, as well as provides good functional and aesthetic results. |
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