Abstract

GARMENDIA GARCIA, Fermín  and  LOPEZ DIAZ, Zoila del S. Treatment of scafocephaly by means of green & winstaken technique (1999-2009). Rev haban cienc méd [online]. 2010, vol.9, n.3, pp. 385-394. ISSN 1729-519X.

The morpho-functional alterations that occurred in craniosynostosis, always require timely surgical treatment, thus motivating the authors to present their experience throughout the period of ten years (1999-2009) in the performance of surgery of the cases by means of Green & Winstaken Technique (sagital craniectomy) in 39 children affected by scafocephaly; having the following results: predominant age group at the moment of surgery, between 4 and 6 months (74.4%), which shows the early performance of surgery in our Hospital. The male sex was the most affected (94.6%/37 children), the prevailing hospital stay was between 4-10(34 subjects/87.2%), being determined by the geographical factor; after showing the excellent recovery during and post-operatory results, when evaluating the operated cases by assessing the anesthetic-surgical time and the bleeding during the time of surgery, it was found the greater number of subjects in the group with an anesthetic-surgical time, considered adequate /1hour =(33 children/84.3%) and with bleeding during surgery considered moderate/60-100cc=(35 cases/89.8%), the double function of immediate change of cranial morphology preventing future neurological damage was obtained in 100 % of the children that underwent this type of surgery. Complications were only present during the time of operation (4 patients/10.3%), due to profuse bleeding, but there was none after the operation, neither immediate nor mediate moments , motivating us to recommend this type of technique as an excellent choice when assessing the time to carry out this type of surgery.

Keywords : Craniosynostosis_Scafocephaly; Craniofacial malformations; Treatment by Green & Winstaken; Technique Complications.

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