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Journal of Korean Neurosurgical Society 2011;49(3): 194-199.
doi: https://doi.org/10.3340/jkns.2011.49.3.194
Immediate Spontaneous Shape Correction Using Expantile Zigzag Craniectomy in Infantile Scaphocephaly: Is There an Improvement in the Developmental Quotient Following Surgery?.
Sang Dae Kim, Shizuo Oi
1Department of Neurosurgery, Korea University College of Medicine, Seoul, Korea.
2Division of Pediatric Neurosurgery, Jikei Women's and Children's Medical Center, Jikei University School of Medicine, Tokyo, Japan. shizuo.prof.oi@jikei.ac.jp
ABSTRACT
There is still debate over which method of the surgery is the most appropriate for the treatment of scaphocephalic infants. In addition, change in psychomotor development following these procedures is a very complex issue that has not yet been resolved. In this paper, the authors describe a surgical technique for immediate spontaneous shape correction of infantile scaphocephaly. There were significant differences between pre- and postoperative cephalic index. We also describe an improvement in the developmental quotient following surgery. Therefore, this expantile zigzag craniectomy should be recommended to correct for isolated sagittal craniosynostosis in infants.
Key Words: Scaphocephaly; Cephalic index; Developmental quotient; Expantile zigzag craniectomy
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