Derick A Mendonca, Swaroop Gopal and Satish Rudrappa
Sakra World Hospital, India
Scientific Tracks Abstracts: Surgery Curr Res
Introduction: Craniosynostosis is a premature fusion of the growing cranial suture resulting in head deformities. Anterior craniosynostosis (metopic/uni/bicoronal) is more common in India, as compared to sagittal suture. Calvarial Vault Reconstruction (CVR) is the standard surgical treatment. The aim of this paper is to investigate and document outcomes of craniosynostosis treatment in a new craniofacial unit in Bangalore, South India. Methods: A prospective study of all craniosynostosis patients treated from Jan 2014 to Jan 2015 was conducted. Pre and postoperative data were collected and analysed. Results: A total of 10 patients were diagnosed with craniosynostosis. Four patients presented late, while 6/10 patients underwent surgery (CVR). The mean age at surgery was 12 months. One patient had isolated metopic, 3 patients had metopic and coronal, 1 patient bicoronal and 1 patient had sagittal synostosis. The mean length of stay in PICU was 1 day. Mean blood loss during surgery was 250 ml. Head circumference increased by 2.5 cm. One patient developed a CSF leak which settled conservatively. Technical variations in an Indian context are presented and discussed. Strategies to create awareness and education of craniosynostosis are offered. Conclusion: Calvarial vault reconstruction can be offered to Indian patients in a safe, reliable and cost effective manner.
Derick A Mendonca is a British Board Certified Plastic Surgeon, currently Head of the Plastic and Reconstructive Surgery department at Sakra World Hospital, Bangalore. He completed his Specialist Registrar Plastic Surgery training at the prestigious Queen Elizabeth University Hospital, Birmingham, UK. He obtained the MRCS and FRCS (Plastic) qualification from the Royal College of Physicians and Surgeons, Glasgow and is credentialed with the Certificate of Completion of Training (CCT) in Plastic Surgery. He obtained an advanced fellowship in Craniofacial and Paediatric Plastic Surgery for 1 year at Washington University School of Medicine, St. Louis, USA. He maintains a keen academic interest with over 30 scientific publication prizes and is a frequent speaker at national and international Plastic Surgery conferences. He is particularly proud of two seminal publications: “The Birmingham classification of venous malformations in children”, and “The first biomechanical cadaveric anatomical study on palatal dissection and movement”. He is a reviewer and member of the Cochrane Wounds Group, Oxford and a Craniofacial surgery reviewer for two prestigious Plastic Surgery journals. His area of interest is in complex craniomaxillofacial reconstruction, craniofacial distraction, craniosynostosis (endoscopic & open calvarial remodelling), facial fractures and trauma, cleft lip and palate surgery, paediatric plastic surgery, ear and nose reconstruction, facial palsy reanimation surgery and oculoplastic surgery.
Email: derickmen@yahoo.com
