WHAT IS INTERVENTION
Surgery to correct craniosynostosis is the remodeling of the skull and in particular the time (the top), which will be more or less important depending on the subject and the suture whether or not to intervene in areas adjacent to the vault itself (eg orbits, base, etc...)
WHERE 'CAN DO IT, WHEN AND WHY' THE FIRST POSSIBLE
centers of excellence in Italy for this intervention (Florence and Rome), cutting-edge expertise and technical assistance, advise to take place between the 4th and 6 th month of the child, just to decrease the risk for intervention.
doing this when in fact, with only one application and without using artificial grafts (possibly to be removed later), you can use the lift capacity of brain growth and the possibility of bone regeneration of the inner layer of the dura mater, ie, the outside of the meninges (the membranes covering the brain).
In this way, as well as prevent possible suffering to the constraint that the brain would be submitted at the time of its greatest expansion (after still growing, but more slowly), the psychological impact is reduced due to hospital and the risk of any injuries from falls (think of a child around the year begins to walk).
the typical risks of this surgery
Depending on the suture and type of intervention will be practiced other than a cut or cuts, in all cases one of the risks inherent in this type of surgery is bleeding and the need for transfusions is during and immediately after. In any case, your doctor, prior to surgery will explain what action is going to do and if this is the case in which there may be need for this. In principle, when the incision is large and time of exposure are not part of the fast, the need for transfusion is quite obvious (eg the trigonocephaly important).
Other risks are those inherent in any surgery such as those related to anesthesia or infection. If you do not take over
complications in principle was discharged in 4 or 5 days and then will continue until the fall of the wound dressings of the points and will make the controls provided by your doctor.
WHY 'I DO huge crowd before surgery
Another reason why it is important to diagnose the disease early is because once you decide where to make your baby is important to remember that we are talking about young children that if they have the cold, fever or worse, or have just had the vaccination when the place for free speech ... Skip the intervention, and are waiting for a call back. In this way, from diagnosis to intervention that could pass for several months.
Even if it means offending some relatives, the dispassionate counsel is to protect small as possible to avoid him and to you to prolong the expectation of which could become a major stress factor (especially for you) .
ODDI ONLY TIME WE HAVE DISCOVERED THE craniosynostosis!
Since the first action is taken, the better, after the intervention period generally optimum may involve the need to intervene in two steps.
addition to dissipate the pressure of growth of the brain, the bones of the infant, in fact are much more malleable than a child, this would need to include for example titanium implants that address those deficiencies. Usually it is a kind of "fingers folded" said clips that hold the suture and open floor plan create the space needed at a later time (after a time which varies depending on the circumstances) will be made a second operation to remove them.
This type of intervention, however, as it may cause more worry and certainly being able to intervene before it is not recommended (see those who diagnose the hospitals craniosynostosis at birth or soon after, and then recommended to work around the year) and excellent cosmetic results and functional. From studies done on non-serious craniosynostosis operated on late (school age) the bamnini had improvements in terms of welfare (decrease until it disappears for headaches, improved relationships) that returns to school.
WHY 'TO OPERATE A CHILD IN A CENTER OF EXCELLENCE IN A DEPARTMENT OR OTHERWISE pediatric neurosurgery. Even
hospital doorstep is a great maxillofacial surgeon who has already worked for craniosynostosis as that of my son, why should I go out of my city?
Generally, to operate their child to another city can point to a parent that the disease is more severe, or worry for logistics.
The reality is that since the first action is taken, the better to operate a child and an adult is not the same thing and this, doctors say it serious.
Apart from the theory of technical intervention in fact, there is a practice that greatly enhances the number of interventions made (and this is a center of excellence is unbeatable), which affects not only the surgery itself, but the assumption the patient in general.
fact, there are more risks associated with "nonsense" as the operating table heated or not.
than adults generally is not. The special operating rooms in which they operate the pediatric neurochiurghi they are, because for a child small is easier to get sick (bronchitis, etc.) during a speech like that.
The same applies to anesthesia on a young child, and for transfusions. Having experience with children involves acquiring knowledge and a series of measures that greatly reduce the risks and complications of certain operating practices that are not specifically related only to the intervention, but at the age of the patient and in an operating room adult could not be adopted.
Where do operate their own child is a very personal choice, but please, consider this aspect that is not of secondary importance.
Regarding the logistics, there is the possibility of being help if we needed it ... so please ask.
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