scholarly journals Single incision endoscopic strip craniectomy for sagittal craniosynostosis

2021 ◽  
Vol 4 (2) ◽  
pp. V10
Author(s):  
Edward S. Ahn ◽  
Archis R. Bhandarkar
Keyword(s):  
Single Incision ◽  
Young Infant ◽  
Wound Complications ◽  
Circulating Blood Volume ◽  
Sagittal Craniosynostosis ◽  
Young Infants ◽  
Emissary Veins ◽  
Incision Technique ◽  
Inside Out ◽  
Strip Craniectomy

The authors describe an endoscopic strip craniectomy through a single incision for the treatment of sagittal craniosynostosis in a young infant. The endoscopic strip craniectomy was first introduced with the use of two incisions on either end of the fused suture. This single-incision technique offers several advantages. There is a cosmetic advantage and a reduced risk of wound complications. This technique also allows for early control of emissary veins and an inside-out identification of the lambdoid sutures. Endoscopic visualization is optimized to reduce the risk of blood loss, especially because circulating blood volume is very limited in these young infants. The video can be found here: https://vimeo.com/514366415

Endoscopically assisted versus open repair of sagittal craniosynostosis: the St. Louis Children's Hospital experience

2011 ◽  
Vol 8 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Manish N. Shah ◽  
Alex A. Kane ◽  
J. Dayne Petersen ◽  
Albert S. Woo ◽  
Sybill D. Naidoo ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Blood Loss ◽  
Open Surgery ◽  
Operating Time ◽  
Endoscopic Procedure ◽  
Sagittal Craniosynostosis ◽  
Helmet Therapy ◽  
Age At Surgery ◽  
The Mean ◽  
Strip Craniectomy

Object This study investigated the differences in effectiveness and morbidity between endoscopically assisted wide-vertex strip craniectomy with barrel-stave osteotomies and postoperative helmet therapy versus open calvarial vault reconstruction without helmet therapy for sagittal craniosynostosis. Methods Between 2003 and 2010, the authors prospectively observed 89 children less than 12 months old who were surgically treated for a diagnosis of isolated sagittal synostosis. The endoscopic procedure was offered starting in 2006. The data associated with length of stay, blood loss, transfusion rates, operating times, and cephalic indices were reviewed. Results There were 47 endoscopically treated patients with a mean age at surgery of 3.6 months and 42 patients with open-vault reconstruction whose mean age at surgery was 6.8 months. The mean follow-up time was 13 months for endoscopic versus 25 months for open procedures. The mean operating time for the endoscopic procedure was 88 minutes, versus 179 minutes for the open surgery. The mean blood loss was 29 ml for endoscopic versus 218 ml for open procedures. Three endoscopically treated cases (6.4%) underwent transfusion, whereas all patients with open procedures underwent transfusion, with a mean of 1.6 transfusions per patient. The mean length of stay was 1.2 days for endoscopic and 3.9 days for open procedures. Of endoscopically treated patients completing helmet therapy, the mean duration for helmet therapy was 8.7 months. The mean pre- and postoperative cephalic indices for endoscopic procedures were 68% and 76% at 13 months postoperatively, versus 68% and 77% at 25 months postoperatively for open surgery. Conclusions Endoscopically assisted strip craniectomy offers a safe and effective treatment for sagittal craniosynostosis that is comparable in outcome to calvarial vault reconstruction, with no increase in morbidity and a shorter length of stay.

INTRAPERICARDIAL TERATOMA: A CAUSE OF ACUTE PERICARDIAL EFFUSION IN INFANCY

PEDIATRICS ◽  
1969 ◽  
Vol 43 (1) ◽  
pp. 71-78
Author(s):  
James L. Reynolds ◽  
John K. Donahue ◽  
Charles W. Pearce
Keyword(s):  
Pericardial Effusion ◽  
Clinical Features ◽  
Personal Experience ◽  
Young Infant ◽  
Early Infancy ◽  
Cardiac Tumors ◽  
Young Infants

On the basis of personal experience with two patients and a review of the 35 previously reported cases, we described the pathologic and clinical features of intrapericardial teratoma. This tumor is single, large, encapsulated, multicystic, and pedunculated. It is attached by a short fibrous stalk or pedicle to the adventitia of one or both great arteries. Only 2 of the 37 intrapericardial teratomas were malignant. The tumor is found predominantly in children, usually during early infancy, and among cardiac tumors of childhood it is second only to rhabdomyoma in frequency. Acute or chronic pericardial effusion commonly accompanies the teratoma. All young infants reported have had acute pericardial effusion with tamponade. Typically, the associated fluid is serous, sterile, copious, and recurrent; it usually obscures the presence of the tumor. Intrapericardial teratoma is a likely diagnosis in any young infant having such penicardial effusion; other cardiac tumors do not have these clinical features. Artificial pneumopericardium will demonstrate the teratoma, and operation is curative if the tumor is benign. Uncontrollable bleeding from the aorta on dissection of the tumor stalk has been an operative hazard; but, if anticipated, it can be avoided.

THE HISTIDINE REQUIREMENT OF THE INFANT

PEDIATRICS ◽  
1963 ◽  
Vol 31 (5) ◽  
pp. 786-801
Author(s):  
Selma E. Snyderman ◽  
Audrey Boyer ◽  
Ellen Roitman ◽  
L. Emmett Holt ◽  
Philip H. Prose
Keyword(s):  
Weight Gain ◽  
Amino Acid ◽  
Essential Amino Acid ◽  
Young Infant ◽  
Nitrogen Retention ◽  
Sebaceous Glands ◽  
Young Infants

Histidine appears to be an essential amino acid for the young infant. Its omission from the diets of young infants gives rise to a depression of weight gain and of nitrogen retention. It also resulted in a dermatitis clinically and pathologically similar to infantile eczema, except for the absence of pruritus and atrophic changes in the sebaceous glands. Under the conditions of this study, the histidine requirement was less than 35 mg/kg/day in all six infants tested with this intake. Five infants were given a trial of 22 mg/kg/day; in three this figure was satisfactory, but in the remaining two there was some evidence of inadequacy. An intake of 16.6 mg/kg/day appeared to be adequate for one infant.

ENTEROVIRAL MENINGITIS IN VERY YOUNG INFANTS

PEDIATRICS ◽  
1967 ◽  
Vol 40 (4) ◽  
pp. 617-626
Author(s):  
Alan G. Nogen ◽  
Martha L. Lepow
Keyword(s):  
General Hospital ◽  
Young Infant ◽  
Neurologic Examination ◽  
Young Infants ◽  
Normal Glucose ◽  
Enteroviral Meningitis ◽  
Csf Findings

Enteroviral meningitis was studied in five infants less than 6 weeks of age. Eight additional cases of suspected enteroviral meningitis from the Cleveland Metropolitan General Hospital were reviewed with regard to symptoms, CSF findings, neurologic examination, prognosis, and epidemiology. The entity of enteroviral meningitis should be considered in and viral cultures obtained from any young infant when examination of the CSF reveals a pleocytosis, normal glucose, and absence of organisms on Gram's stain and culture.

The Effects of Whole-Vault Cranioplasty versus Strip Craniectomy on Long-Term Neuropsychological Outcomes in Sagittal Craniosynostosis

2014 ◽  
Vol 134 (3) ◽  
pp. 491-501 ◽  
Author(s):  
Peter W. Hashim ◽  
Anup Patel ◽  
Jenny F. Yang ◽  
Roberto Travieso ◽  
Jordan Terner ◽  
...  
Keyword(s):  
Sagittal Craniosynostosis ◽  
Neuropsychological Outcomes ◽  
Strip Craniectomy
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