Correction of sagittal craniosynostosis by fronto-parieto-occipital osteotomy and craniectomy, review of an innovative combined technique

Abstract

Introduction: Premature cranial suture closure defects belong to an important group of serious congenital anomalies that are associated with high perinatal and developmental morbidity and mortality, causing cognitive and neurological alterations with sequelae that can be permanent if not treated in time. Craniectomy and osteotomy as a tool for the correction and management of this entity is a technique used for cranial remodeling and decompression allowing normal cranial development in the newborn. The objective of this work is to describe the technique and importance of craniectomy and osteotomy in the combined technique for the resolution of sagittal craniosynostosis and reduction of intraoperative complications and its advantages reflected in the postoperative period, establishing it as the technique of choice for this type of deformity due to the decrease in comorbidities it reflects and the result. Material and method: This is a clinical study, retrospective, analytical and description of surgical technique. Results: The procedure was performed within the established time window. All patients underwent the described technique. The average intraoperative blood expenditure was 130 cc, the operative time was 2.5 hours. Currently, 11 patients are alive and are being followed up by the outpatient clinic. Discussion: The intra- and postoperative comorbidities that are often evident with the use of routine techniques are reflected in the length of stay in intensive care units due to the blood expenditure that may occur during surgery and the prolonged operative time that this entails.