Surgery

Biography

Biography: Derick A. Mendonca

Abstract

Calvarial vault reconstruction: Technical modifications in an Asian context Derick A Mendonca, Swaroop Gopal and Satish Rudrappa Sakra World Hospital, India 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. The 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 post-operative 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). The 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. The 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 offered. Conclusion: Calvarial vault reconstruction can be offered to Indian patients in a safe, reliable and cost effective manner.