Léčba kraniosynostóz remodelační technikou

English version

Autoři: E. Brichtová; Z. Mackerle
Působiště autorů: Pediatric Surgery, Orthopaedics and Traumatology Clinic, Brno Faculty Hospital, Brno, Czech Republic
Vyšlo v časopise: Cesk Slov Neurol N 2011; 74/107(2): 168-174
Kategorie: Původní práce

Souhrn

Cíl:
Autoři popisují komplexní diagnostický postup, individuální předoperační přípravu a pooperační sledování, které zavedli na svém pracovišti, včetně individuální předoperační hematologické přípravy a remodelační operační techniky u pacientů s kraniosynostózou.

Soubor a metodika:
Soubor 14 pacientů operovaných remodelační technikou je srovnáván se souborem pacientů operovaných metodou strip kraniektomie z hlediska kosmetického efektu, potřeby krevní transfuze, doby trvání operačního výkonu a komplikací.

Výsledky:
Pacienti operovaní remodelační technikou vykazovali signifikantní zlepšení cefalického indexu a lepší kosmetický efekt ve srovnání s pacienty operovanými metodou strip kraniektomie. Autoři neshledali statisticky významný rozdíl v délce trvání operace u obou srovnávaných skupin. Individuální předoperační hematologická příprava eliminovala zvýšenou potřebu krevních transfuzí u velmi malých pacientů.

Závěry:
Remodelační operační technika poskytuje lepší kosmetické a léčebné výsledky ve srovnání s technikou strip kraniektomie. Remodelační operační technika spolu s komplexní, individuální předoperační přípravou představuje bezpečnou a účinnou metodu v léčbě kraniosynostóz i u velmi malých dětí.

Klíčová slova:
kraniosynostóza –⁠ diagnostický algoritmus –⁠ genetika –⁠ remodelace klenby lební –⁠ časná operace –⁠ hematologická příprava

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