Background and Aims:
This paper attempts to investigate the variation of craniosynostosis subtypes over time and comparison of surgical outcome
in patients who underwent suturectomy
at the Mofid Pediatric Surgery Center in Iran.
In a retrospective investigation, personal, clinical, and paraclinical data were extracted from medical records of 250 infants/children with nonsyndromic craniosynostosis
who underwent operation from 1996 to 2011 in Mofid Pediatric Hospital. Samples were separated into 2 groups according to surgical method type. The surgical outcome
had been ranked using Haberl Scale by 2 neurologists 1 year after surgery. Using χ2
outcomes were compared and the effective factors on the surgical outcome
were also investigated.
Schaphocephaly (40%) and anterior plagiocephaly (28.8%) were prevalently delineated among phenotypes which gradually varied over time. The most prevalent age ranges at operation were 2 to 4 months for suturectomy
and 6 to 12 months for cranioplasty
. Patients mainly underwent suturectomy
(61.2%). About 84% of operated cases demonstrated very good outcome. There was not significant difference between suturectomy
groups with respect to the surgical outcome. Age at operation exhibited a significant effect on the surgical outcome.
It seems that age at surgery is an important factor to prognosticate surgical outcome
versus type of surgical method and phenotype of craniosynostosis in operated patients with nonsyndrome craniosynostosis. Namely, operation of younger pediatric cases leads to a satisfactory outcome.