CRANIOSTENOSIS AND CRANIOFACIAL DYSMORPHI A

The paper gives a brief historical survey of craniostenosis and the fi rst operative approaches. The authors describe a classification of var ious types of cranio-facio-stenosis and facio-cranio-stenosis and pres ent a detailed study of their experience in this area. Operative resul ts are discussed in function of the selected surgical procedure, the i mmediate per- and post-operative complications and the short and long term morbidity. The authors present their current attitude for each dy smorphic type. They underline the heavy nature of this long-lasting an d bleeding surgical procedure that concerns small children. They have recorded 31 incidents in relation with surgical procedure, 10 complica tions at short and long term, and 1 death. Such surgery requires an ex perienced and vigilant team, associating surgeons, anesthesists and in tensive-care physicians.