2019 Volume 35 Issue 3 Pages 79-83
In general, the surgical treatment methods for craniosynostosis are distraction osteogenesis（DOG）and cranial vault remodeling（CVR）. When comparing these methods, the perioperative patient burden is a significant factor, but the social background, such as medical standards, differs with age. We report the perioperative patient burden at our hospital between 2012 and 2016, in addition to other factors. Thirty-eight patients with craniosynostosis who received DOG（a series of operations；n=18）or CVR（n=20）were included. The total cost of hospitalization, operation time, total blood transfusion amount and the number of days hospitalized were compared.
The mean operation time was 468 and 427 min in the CVR and DOG groups, respectively, and the mean amount of blood transfused based on perioperative weight was 48.5 and 67.7 ml/kg, respectively. The mean number of days hospitalized was 15.1 and 53.9 days in the CVR and DOG groups, respectively, and the mean cost of hospitalization was 5 million and 5.43 million yen, respectively.
No significant difference between the groups was found except that those who underwent DOG required longer hospitalization than those who underwent CVR. However, as our patients were in a highly critical condition, the lack of significant difference between the procedures suggests that DOG is a highly useful method.
