Print version ISSN 0004-282X
Arq. Neuro-Psiquiatr. vol.54 no.1 São Paulo Mar. 1996
Surgical treatment of premature sagittal synostosis (Abstract)*. Thesis. Belo Horizonte, 1994
A series of 40 consecutive children with premature sagittal synostosis is analysed. All of them were treated surgically. 35 chidren are male, 38 are leukodermic and 2 are brothers. In the pre-operatory examination the head shape, the skull measures and the radiologic findings had been valued. 28 children had been operated before 6 months of age, and 12 of them between 6 and 12 months. The surgical tecnique used was a wide biparietal craniectomy. Blood transfusions were eventual, being necessary only for 6 (15%) of the children. The children were admitted at the day of the surgery and discharged between the second and the third days. Local or general complications were not observed, and no one died. The aesthetic result was considered to be good.
In the analysis of the surgical experience with the premature and isolated fusion of the sagittal suture, one gets to the conclusion that:
- the treatment must be done through a wide and biparietal craniectomy, without the use of interpositional material or chemical solutions on the dura;
- it must be performed so far as the sixth months of age;
- a blood reposition should be eventual and not usual;
- the discharging of the hospital may occur early;
- the aesthetic valuation should be done through parents, pediatrician and surgeon's observation;
- the skull measures, generally alterated before the treatment, come to normalization within the first 12 months.
It may be concluded that it is a procedure of great effectiveness in the treatment of premature fusion.
Key words: craniosynostosis, sagittal suture, surgical treatment.
* Tratamento cirúrgico da fusão isolada e prematura da sutura sagital (Resumo). Tese de Mestrado, Faculdade de Medicina da Universidade Federal de Minas Gerais (Área: Cirurgia). Orientador: Alcino Lázaro da Silva.
** Address: Rua Aimorés 2480 / 902 - 30140-072 Belo Horizonte MG - Brasil.