<< Back to the abstract archive
Management of Sagittal Synostosis: A Solution to Equipoise
Moores N, Doumit G, Papay F
Cleveland Clinic Foundation
2012-02-07
Presenter: Moores N.
Affidavit:
One hundred percent
Director Name: Gaby Doumit (for Allan Siperstein)
Author Category: Other Specialty Resident
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
How does this presentation meet the established conference educational objectives?
The presenter will inform participants about the current management of non syndromic sagittal suture craniosynostosis.
How will your presentation be used by practicing physicians in the audience?
The information elucidated from the survey will either validate practicing craniofacial surgeons in the audience practice or will question their current practice.
In the craniofacial surgery literature there is a wide disparity of opinions regarding the appropriate treatment of non-syndromic sagittal synostosis. Our study aims to elucidate the current state of practice among craniofacial surgeons.
A cross-sectional questionnaire based survey was sent to 103 craniofacial surgeons in fourteen countries on four continents. Data was collected regarding the following parameters: indications, timing and method of surgical therapy of sagittal craniosynostosis; surgeons' satisfaction with current technique; post-operative length of stay; usage of preoperative cranial computed tomography, ultrasonography, and erythropoietin; steroid usage patterns; and barriers to evidence based practice, among others.
After two mailings the response rate was 54% (56/103). For 62 % of respondents, skull deformity was the primary indication for treatment of craniosynostosis. 35% of surgeons choose endoscopic surgical treatments for patients prior to 4 months of age. 31 % of surgeons choose an open surgical approach for the same population. Total or sub total cranial vault remodeling was the procedure of choice for open surgical intervention (72%). 78% of craniofacial surgeons are satisfied with their surgical technique. 69% of craniofacial surgeons reported that their patients stay in the hospital an average of 3-4 days post open surgical intervention. 71% of surgeons will obtain a pre operative computed tomography. Only 41% of respondents use intra-operative steroids regularly. 57% of respondents cite that a lack of consensus in the surgical society is the greatest obstacle to clinical decision making.
Our survey supports the hypothesis that there exists a wide disparity of opinions regarding the management of sagittal synostosis.
