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- W2972592011 abstract "Introduction: Surgical treatment of patients with sagittal craniosynostosis in much of the former Eastern Block countries is limited by lack of resources, training and experience. In the Republic of Moldova there are no orthotists available to provide molding therapy. Open cranial vault remodeling is possible but is limited by a lack of equipment (limited craniotome access and no absorbable plating systems). Spring-assisted surgery (SAS) has been adopted following a collaboration with craniofacial surgeons at Wake Forest University over the past 8 years. We present our initial experience with SAS. Methods: A retrospective study was performed for all patients treated with SAS for sagittal craniosynostosis from 2011–2018 in Moldova. Perioperative data were recorded including age at surgery, length of surgery, blood loss, volume transfused and length of stay. A subset of patients had pre- and post-operative CT scans which were used to calculate changes in cephalic index, normative cephalic index, and intracranial volume. Results: Thirteen patients underwent SAS during the 8-year time period. Diagnoses were made based upon physical exam and confirmed with CT. Mean age at surgery was 4.0 months, and length of surgery 62 minutes. All but one patient received a blood transfusion, consistent with our routine practice for intracranial surgery. The mean length of post-operative recovery in the ICU was 29.6 hours. No post-operative complications requiring surgical revision occurred. Springs were removed at after 5 months. All patients had a subjective improvement in scaphocephaly. Two patients had postoperative CT scans available. These had modest improvement in cephalic index (78 to 82, and 76 to 78) whereas normative cephalic index demonstrated a more drastic change (73 to 81, and 72 to 76). Intracranial volume increased by 40% and 46.5% with springs in place, for these two patients. Conclusion: Intracranial expansion using SAS is similar to that provided with posterior vault distraction osteogenesis. SAS is a technique which may be safely and effectively utilized in small countries despite limited resources." @default.
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- W2972592011 date "2019-08-01" @default.
- W2972592011 modified "2023-10-14" @default.
- W2972592011 title "S7A-08 SESSION 7A" @default.
- W2972592011 doi "https://doi.org/10.1097/01.gox.0000583156.10244.95" @default.
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