Derick A Mendonca
Sakra World Hospital, India
Title: Calvarial vault reconstruction: Technical modifi cations in an Asian context
Biography
Biography: Derick A Mendonca
Abstract
Introduction: Craniosynostosis is a premature fusion of the growing cranial suture resulting in head deformities. Anterior craniosynostosis (metopic/uni/bicoronal) is more common in India, as compared to sagittal suture. Calvarial Vault Reconstruction (CVR) is the standard surgical treatment. Th e aim of this paper is to investigate and document outcomes of craniosynostosis treatment in a new craniofacial unit in Bangalore, South India. Methods: A prospective study of all craniosynostosis patients treated from Jan 2014 to Jan 2015 was conducted. Pre and postoperative data were collected and analysed. Results: A total of 10 patients were diagnosed with craniosynostosis. Four patients presented late, while 6/10 patients underwent surgery (CVR). Th e mean age at surgery was 12 months. One patient had isolated metopic, 3 patients had metopic and coronal, 1 patient bicoronal and 1 patient had sagittal synostosis. Th e mean length of stay in PICU was 1 day. Mean blood loss during surgery was 250 ml. Head circumference increased by 2.5 cm. One patient developed a CSF leak which settled conservatively. Technical variations in an Indian context are presented and discussed. Strategies to create awareness and education of craniosynostosis are off ered.