Léčba kraniosynostóz remodelační technikou

Cíl:
Autoři popisují komplexní diagnostický postup, individuální předoperační přípravu a pooperační sledování, které zavedli na svém pracovišti, včetně individuální předoperační hematologické přípravy a remodelační operační techniky u pacientů s kraniosynostózou.

Soubor a metodika:
Soubor 14 pacientů operovaných remodelační technikou je srovnáván se souborem pacientů operovaných metodou strip kraniektomie z hlediska kosmetického efektu, potřeby krevní transfuze, doby trvání operačního výkonu a komplikací.

Výsledky:
Pacienti operovaní remodelační technikou vykazovali signifikantní zlepšení cefalického indexu a lepší kosmetický efekt ve srovnání s pacienty operovanými metodou strip kraniektomie. Autoři neshledali statisticky významný rozdíl v délce trvání operace u obou srovnávaných skupin. Individuální předoperační hematologická příprava eliminovala zvýšenou potřebu krevních transfuzí u velmi malých pacientů.

Závěry:
Remodelační operační technika poskytuje lepší kosmetické a léčebné výsledky ve srovnání s technikou strip kraniektomie. Remodelační operační technika spolu s komplexní, individuální předoperační přípravou představuje bezpečnou a účinnou metodu v léčbě kraniosynostóz i u velmi malých dětí.

Klíčová slova:
kraniosynostóza – diagnostický algoritmus – genetika – remodelace klenby lební – časná operace – hematologická příprava

Autoři: E. Brichtová; Z. Mackerle
Působiště autorů: Pediatric Surgery, Orthopaedics and Traumatology Clinic, Brno Faculty Hospital, Brno, Czech Republic
Vyšlo v časopise: Cesk Slov Neurol N 2011; 74/107(2): 168-174
Kategorie: Původní práce

Souhrn

Klíčová slova:
kraniosynostóza – diagnostický algoritmus – genetika – remodelace klenby lební – časná operace – hematologická příprava

Zdroje

1. Cohen MM. Craniosynostosis: Diagnosis, Evaluation and Management. New York: Raven Press 1986: 1–20.

2. San P, Persing A. Craniosynostosis. In: Albright L, Pollack I, Andelson D (eds). Principles and Practise of Pediatric Neurosurgery. New York: Thieme; 1999: 219–242.

3. Meyer P, Renier D, Arnaud E, Jarreau MM, Charron B, Buy E et al. Blood loss during repair of craniosynostosis. Br J Anaesth 1993; 71(6): 854–857.

4. Faberowski LW, Black S, Mickle JP. Blood loss and transfusion practice in the perioperative management of craniosynostosis repair. J Neurosurg Anesthesiol 1999; 11(3): 167–172.

5. Kearney RA, Rosales JK, Howes WJ. Craniosynostosis: an assessment of blood loss and transfusion practices. Can J Anaesth 1989; 36(4): 473–477.

6. Scholtes JL, Thauvoy C, Moulin D, Gribomont BF. Craniofaciosynostosis: anesthetic and perioperative management. Report of 71 operations. Acta Anaesthesiol Belg 1985; 36(3): 176–185.

7. Tuncbilek G, Vargel I, Erdem A, Mavili ME, Benli K, Erk Y. Blood loss and transfusion rates during repair of craniofacial deformities. J Craniofac Surg 2005; 16(1): 59–62.

8. White N, Marcus R, Dover S, Solanki G, Nishikawa H, Millar C et al. Predictors of blood loss in fronto-orbital advancement and remodeling. J Craniofac Surg 2009; 20(2): 378–381.

9. Ririe DG, David LR, Glazier SS, Smith TE, Argenta LC. Surgical advancement influences perioperative care: a comparison of two surgical techniques for sagittal craniosynostosis repair. Anesth Analg 2003; 97(3): 699–703.

10. Di Rocco F, Arnaud E, Meyer P, Sainte-Rose C, Renier D. Focus session on the changing “epidemiology” of craniosynostosis (comparing two quinquennia: 1985–1989 and 2003–2007) and its impact on the daily clinical practice: a review from Necker Enfants Malades. Childs Nerv Syst 2009; 25(7): 807–811.

11. Di Rocco F, Arnaud E, Renier D. Evolution in the frequency of nonsyndromic craniosynostosis. J Neurosurg Pediatr 2009; 4(1): 21–25.

12. Ozgur BM, Aryan HE, Ibrahim D, Soliman MA, Meltzer HS, Cohen SR et al. Emotional and psychological impact of delayed craniosynostosis repair. Childs Nerv Syst 2006; 22(12): 1619–1623.

13. Persing JA. Immediate correction of sagittal synostosis. J Neurosurg 2007; 107 (Suppl 5): 426.

14. Maugans TA, McComb JG, Levy ML. Surgical management of sagittal synostosis: a comparative analysis of strip craniectomy and calvarial vault remodeling. Pediatr Neurosurg 1997; 27(3): 137–148.

15. Jimenez D, Barone CM. Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis. J Neurosurg 1998; 88(1): 77–81.

16. Hinojosa J, Esparza J, Muñoz MJ. Endoscopic-assisted osteotomies for the treatment of craniosynostosis. Childs Nerv Syst 2007; 23(12): 1421–1430.

17. Murad JA, Clayman M, Seagle MB, White S, Perkins LA, Pincus DW. Endoscopic-assisted repair of craniosynostosis. Neurosurg Focus 2005; 19(6): E6.

18. Keshavarzi S, Hayden MG, Ben-Haim S, Meltzer HS, Cohen SR, Levy ML. Variations of endoscopic and open repair of metopic craniosynostosis. J Craniofac Surg 2009; 20(5): 1439–1444.

19. Di Rocco C, Caldarelli M, Massimi L, Romani R, Tamburrini G. A minimally invasive technique for the surgical correction of sagittal synostosis: preliminary experience. Childs Nerv Syst 2004; 20: 653–685.

20. Pelo S, Gasparini G, Di Petrillo A, Tamburrini G, Di Rocco C. Distraction osteogenesis in the surgical treatment of craniostenosis: a comparison of internal and external craniofacial distractor devices. Childs Nerv Syst 2007; 23(12): 1447–1453.

21. Kim SW, Shim KW, Plesnila N, Kim YO, Choi JU, Kim DS. Distraction vs remodeling surgery for craniosynostosis. Childs Nerv Syst 2007; 23(2): 201–206.

22. Nonaka Y, Oi S, Miyawaki T, Shinoda A, Kurihara K. Indication for and surgical outcomes of the distraction method in various types of craniosynostosis. Childs Nerv Syst 2004; 20(10): 702–709.

23. Imai K, Komune H, Toda C, Nomachi T, Enoki E, Sakamoto H. Cranial remodeling to treat craniosynostosis by gradual distraction using a new device. J Neurosurg 2002; 96(4): 654–659.

24. Akai T, Iizuka H, Kawakami S. Treatment of craniosynostosis by distraction osteogenesis. Pediatr Neurosurg 2006; 42(5): 288–292.

25. Arai H, Nakanishi H, Miyajima M, Komuro Y, Yanai A. Cranial remodeling using gradual distraction method for craniosynostosis. Childs Nerv Syst 2004: 20: 653–685.

26. Heller JB, Heller MM, Knoll B, Gabbay JS, Duncan C et al. Intracranial volume and cephalic index outcomes for total calvarial reconstruction among nonsyndromic sagittal synostosis patients. Plast Reconstr Surg 2008; 121(1): 187–195.

27. Mori K, Sakamoto T, Nakai K. Expanding cranioplasty for craniosynostosis and allied disorders. Childs Nerv Syst 1992; 8(7): 399–405.

28. Ahmad N, Lyles J, Panchal J. Outcomes and complications based on experience with resorbable plates in pediatric craniosynostosis patients. J Craniofac Surg 2008; 19(3): 855–860.

29. Kang JK. Cranial remodelling techniques in the treatment of craniosynostosis during the first year of life: evaluation of loose, rigid, and limited fixation. Jpn J Neurosurg 2000; 9(1): 4.

30. Arai H, Sato K, Okuda O, Miyajima H, Hishii M, Nakanishi H et al. Early experience with poly L-lactic acid bioabsorbable fixation system for paediatric craniosynostosis surgery. Report of 3 cases. Acta Neurochirurgica 2000; 142(2): 187–192.

31. Sikorski CW, Iteld L, McKinnon M, Yamini B, Frim DM. Correction of sagittal craniosynostosis using a novel parietal bone fixation technique: results over a 10-year period. Pediatr Neurosurg 2007; 43(1): 19–24.

32. Haas T, Fries D, Velik-Salchner C, Oswald E, Innerhofer P. Fibrinogen in craniosynostosis surgery. Anesth Analg 2008; 106(3): 725–731.

33. Carver E. Blood loss during repair of craniosynostosis. Br J Anaesth 2004; 93(5): 747.

34. Steinbok P, Heran N, Hicdonmez T, Cochrane DAP. Minimizing blood transfusions in surgery for craniosynostosis. Childs Nerv Syst 2004; 20(7): 653–685.

35. Przybylo HJ, Przybylo JH. The use of recombinant erythropoietin in the reduction of transfusion rates in craniosynostosis repair in infants and children. Plast Reconstr Surg 2003; 111(7): 2485–2486.

36. Panchal J, Marsh JL, Park TS, Kaufman B, Pilgram T, Huang SH. Sagittal craniosynostosis outcome assessment for two methods and timings of intervention. Plast Reconstr Surg 1999; 103(6): 1574–1584.

37. Marsh JL, Jenny A, Galic M, Picker S, Vannier MW. Surgical management of sagittal synostosis. A quantitative evaluation of two techniques. Neurosurg Clin N Am 1991; 2(3): 629–640.

38. Boop FA, Shewmake K, Chadduck WM. Synostectomy versus complex cranioplasty for the treatment of sagittal synostosis. Childs Nerv Syst 1996; 12(7): 371–375.

39. Ferreira MP, Collares MV, Ferreira NP, Kraemer JL, Pereira FA, Pereira FG. Early surgical treatment of nonsyndromic craniosynostosis. Surg Neurol 2006; 65 (Suppl 1): 22–26.

40. Esparza J, Hinojosa J. Complications in the surgical treatment of craniosynostosis and craniofacial syndromes: apropos of 306 transcranial procedures. Childs Nerv Syst 2008; 24(12): 1421–1430.

41. Mackenzie KA, Davis C, Yang A, MacFarlane MR. Evolution of surgery for sagittal synostosis: the role of new technologies. J Craniofac Surg 2009; 20(1): 129–133.

42. Bizzi J, Bedin A. Surgery for craniosynostosis: experience in 150 cases and strategies to avoid complications. Childs Nerv Syst 2010; 26: 545–592.

43. Sloan GM, Wells KC, Raffel C, McComb JG. Surgical treatment of craniosynostosis: outcome analysis of 250 consecutive patients. Pediatrics 1997; 100(1): E2.

44. Van Lindert E, Ettema A, Borstlap W. Validation of cephalic index measurements in scaphocephaly. Childs Nerv Syst 2010; 26: 545–592.

45. Lindley AA, Benson JE, Grimes C, Cole TM, Herman AA. The relationship in neonates between clinically measured head circumference and brain volume estimated from head CT-scans. Early Hum Dev 1999; 56(1): 17–29.

46. Messing-Jünger M, Röhrig A, Persits S, Martini. Morphometric assessment of pre- and postoperative craniofacial shape in craniosynostosis patients. Childs Nerv Syst 2010; 26: 545–592.

47. Clijmans T, Gelaude F, Mommaerts M, Suetens P, Sloten JV. Computer Supported Pre-Operative Planning of Craniosynostosis Surtgery: a Mimics-Integrated Approach. In: Abstracts of the Annual Medical Innovations Conference. Barcelona 2006: 1–12.

48. Clijmans T, Gelaude F, Suetens P, Mommaerts M, Sloten JV. Computer supported pre-operative planning of craniofacial surgery: from patient to template. In: Abstracts of the 3rd European Medical and Biological Engineering Conference; Prague 2005: 2023.

49. Clijmans T, Mommaerts M, Gelaude F, Suetens P, Sloten JV. Skull reconstruction planning transfer to the operation room by thin metallic templates: Clinical results. J Craniomaxillofac Surg 2008; 36(2): 66–74.

50. Clijmans T, Mommaerts M, Suetens P, Slotena SV. Computer supported pre-operative simulation of neonatus cranial bone bending in craniosynostosis surgery planning. Int J CARS 2006; 1 (Suppl 1): 251–263.

51. Teschner M, Girod S, Girod B. Optimization Approaches for Soft–Tissue Prediction in Craniofacial Surgery Simulation. In: Abstracts of the Medical Image Computing and Computer-Assisted Intervention – MICCAI’99 Berlin. Berlin/Heidelberg Springer; 1999.

52. Levi D, Rampa F, Barbieri C, Pricca P, Franzini A, Pezzotta S. True 3D reconstruction for planning of surgery on malformed skulls. Childs Nerv Syst 2002; 18(12): 705–706.

53. Fruhwald J, Schicho KA, Figl M, Benesch T, Watzinger F, Kainberger F. Accuracy of craniofacial measurements: computed tomography and three-dimensional computed tomography compared with stereolithographic models. J Craniofac Surg 2008; 19(1): 22–26.