KẾT QUẢ ĐIỀU TRỊ DỊ TẬT HẸP HỘP SỌ BẨM SINH TẠI KHOA PHẪU THUẬT TẠO HÌNH, BỆNH VIỆN VIỆN VIỆT ĐỨC GIAI ĐOẠN 2015-2021

Abstract

Craniosynostosis is the premature fusion of one or more cranial sutures, leading to an abnormal head shape with increased intracranial pressure. Treatment of craniosynostosis is very difficult and is necessary to have the coordination of many medical specialties. Method: Cross- sectional descriptive study, 19 patients were surgical treatment of craniosynostosis at Maxillofacial, plastic & Aesthetic surgery Department, Vietduc University Hospital, 01/2015 – 11/2021. Result: Metopic synostosis 10,5%, lateral coronal synostosis 31,6%, bilateral coronal synostosis 42,1%, sagittal synostosis 5,3%, Multiple synostosis 5,3%. 13 patients were nonsyndromic craniosynostosis, 6 patients were syndromic craniosynostosis. Surgical methods were 16 patients of fronto- orbital advancement, 2 patients of 2/3 front of cranial vault procedures, 1 patient of total cranial vault procedure. 3 patients were dural tear complication, 1 post-operative infection, 1 anesthesia complication, no patient death. Conclusions: Surgical treatment of craniosynostosis was safe and effective method, low rate of post- operative complication and good function, aesthetic outcomes.