Table 3 Number of patients requiring repeat operation for cosmetic and other problems after initial surgery for craniosynostosis
Age at first surgery (suture category) | Age at re-operation | Reasons for re-operation |
|---|---|---|
5 yrs (sagittal, lambdoid) | 8 yrs | ↑ICP, headache, unsteady gait |
11 mo (pansynostosis) | 11 mo** | temporalis muscle re-suspension |
6 mo (rt. Lambdoid) | 4 yrs | bony defect over posterior sagittal sinus |
18 mo (pansynostosis, Crouzon's variant) | 18 mo* | hemifacial reconstruction |
6 mo (bicoronal) | 6 yrs | Facial asymmetry & orbital dystopia |
5 yrs (sagittal/metopic) | 6 yrs | Repair of multiple cranial defects |
1 yr (sagittal) | 7 yrs | cranioplasty for frontal skull defects |
7 mo (coronal synostosis) | 4 yrs | Non-healing coronal incision, craniofacial deformity, repair of Lt encephalocoele |