دورية أكاديمية
Nonsyndromic craniosynostosis in Vietnam: initial surgical outcomes of subspecialty mentorship.
| العنوان: | Nonsyndromic craniosynostosis in Vietnam: initial surgical outcomes of subspecialty mentorship. |
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| المؤلفون: | Can DDT; 1University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; 2Neurosurgical Department, Children's Hospital 2, Ho Chi Minh City, Vietnam., Lepard JR; 3Department of Neurological Surgery, University of Alabama at Birmingham, Birmingham, Alabama.; 4Section of Pediatric Neurosurgery, Children's of Alabama, Birmingham, Alabama; and., Anh NM; 1University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Tuan PA; 1University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Tuan TD; 1University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Son VT; 1University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Grant JH; 5Department of Plastic Surgery, University of Alabama at Birmingham, Birmingham, Alabama., Johnston JM; 3Department of Neurological Surgery, University of Alabama at Birmingham, Birmingham, Alabama.; 4Section of Pediatric Neurosurgery, Children's of Alabama, Birmingham, Alabama; and. |
| المصدر: | Journal of neurosurgery. Pediatrics [J Neurosurg Pediatr] 2021 Aug 27; Vol. 28 (5), pp. 508-515. Date of Electronic Publication: 2021 Aug 27 (Print Publication: 2021). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 101463759 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 1933-0715 (Electronic) Linking ISSN: 19330707 NLM ISO Abbreviation: J Neurosurg Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Charlottesville, VA : American Association of Neurological Surgeons, 2004- |
| مواضيع طبية MeSH: | Neurosurgical Procedures*/education, Craniosynostoses/*surgery, Craniosynostoses/epidemiology ; Female ; Humans ; Infant ; Male ; Pediatrics ; Prospective Studies ; Plastic Surgery Procedures/methods ; Treatment Outcome ; Vietnam |
| مستخلص: | Objective: There is a global deficit of pediatric neurosurgical care, and the epidemiology and overall surgical care for craniosynostosis is not well characterized at the global level. This study serves to highlight the details and early surgical results of a neurosurgical educational partnership and subsequent local scale-up in craniosynostosis correction. Methods: A prospective case series was performed with inclusion of all patients undergoing correction of craniosynostosis by extensive cranial vault remodeling at Children's Hospital 2, Ho Chi Minh City, Vietnam, between January 1, 2015, and December 31, 2019. Results: A total of 76 patients were included in the study. The group was predominantly male, with a male-to-female ratio of 3.3:1. Sagittal synostosis was the most common diagnosis (50%, 38/76), followed by unilateral coronal (11.8%, 9/76), bicoronal (11.8%, 9/76), and metopic (7.9%, 6/76). The most common corrective technique was anterior cranial vault remodeling (30/76, 39.4%) followed by frontoorbital advancement (34.2%, 26/76). The overall mean operative time was 205.8 ± 38.6 minutes, and the estimated blood loss was 176 ± 89.4 mL. Eleven procedures were complicated by intraoperative durotomy (14.5%, 11/76) without any damage of dural venous sinuses or brain tissue. Postoperatively, 4 procedures were complicated by wound infection (5.3%, 4/76), all of which required operative wound debridement. There were no neurological complications or postoperative deaths. One patient required repeat reconstruction due to delayed intracranial hypertension. There was no loss to follow-up. All patients were followed at outpatient clinic, and the mean follow-up period was 32.3 ± 18.8 months postoperatively. Conclusions: Surgical care for pediatric craniosynostosis can be taught and sustained in the setting of collegial educational partnerships with early capability for high surgical volume and safe outcomes. In the setting of the significant deficit in worldwide pediatric neurosurgical care, this study provides an example of the feasibility of such relationships in addressing this unmet need. |
| فهرسة مساهمة: | Keywords: Vietnam; craniofacial; craniosynostosis; global neurosurgery; limited resource; pediatric neurosurgery |
| تواريخ الأحداث: | Date Created: 20210827 Date Completed: 20220103 Latest Revision: 20240814 |
| رمز التحديث: | 20240814 |
| DOI: | 10.3171/2021.5.PEDS20932 |
| PMID: | 34450594 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1933-0715 |
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| DOI: | 10.3171/2021.5.PEDS20932 |