Long-term functional outcome in 167 patients with syndromic craniosynostosis; defining a syndrome-specific risk profile

被引：85

作者：

de Jong, T. ^{[1
]}

Bannink, N. ^{[1
]}

Bredero-Boelhouwer, H. H. ^{[1
]}

van Veelen, M. L. C. ^{[1
]}

Bartels, M. C. ^{[1
]}

Hoeve, L. J. ^{[1
]}

Hoogeboom, A. J. M. ^{[1
]}

Wolvius, E. B. ^{[1
]}

Lequin, M. H. ^{[1
]}

van der Meulen, J. J. N. M. ^{[1
]}

van Adrichem, L. N. A. ^{[1
]}

Vaandrager, J. M. ^{[1
]}

Ongkosuwito, E. M. ^{[1
]}

Joosten, K. F. M. ^{[1
]}

Mathijssen, I. M. J. ^{[1
]}

机构：

[1] Sophia Childrens Univ Hosp, Erasmus MC, Dept Plast Surg, Dutch Craniofacial Ctr, NL-3000 CB Rotterdam, Netherlands

来源：

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY | 2010年 / 63卷 / 10期

关键词：

Craniosynostosis; ICP; OSA; Development; Sight; Hearing; RAISED INTRACRANIAL-PRESSURE; VISUAL-LOSS; CHILDREN; PAPILLEDEMA; APERT; OBSTRUCTION; PREVALENCE; SYNOSTOSIS; TWIST;

D O I：

10.1016/j.bjps.2009.10.029

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective: Little is known about the long-term prevalence of elevated intracranial pressure (ICP), obstructive sleep apnoea (OSA), level of education, language and motor skills, impaired sight and hearing in craniosynostosis syndromes. The objective of this study was to define the prevalence per syndrome of elevated ICP, OSA, impaired sight and impaired hearing. Methods: A retrospective study was undertaken on 167 consecutive patients diagnosed with Apert, Crouzon, Pfeiffer, Muenke or Saethre-Chotzen syndrome, aged 1-25 years and treated between 1983 and 2008. The mean age at time of referral and review was 1 years and 2 months and 10 years and 3 months, respectively. Results: Patients with Apert and Crouzon/Pfeiffer syndromes had the highest prevalence of elevated ICP (33% and 53%, respectively) and OSA (31% and 27%, respectively), while Saethre-Chotzen syndrome was also associated with a fair risk for elevated ICP (21%). The prevalence of impaired sight (61%) and hearing (56%) was high in all syndromes. Conclusion: Based on these data, a syndrome-specific risk profile with suggestions for screening and treatment is presented. (C) 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

引用

页码：1635 / 1641

页数：7

共 24 条

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