OPTIMIZATION OF SURGICAL STRATEGY FOR CRANIOSYNOSTOSIS IN CHILDREN BASED ON PREOPERATIVE MSCT DIAGNOSTICS

Аннотация

This study proposes an optimized surgical approach for craniosynostosis in children using preoperative multislice computed tomography (MSCT). A total of 150 retrospective cases and a pilot group of 80 patients were analyzed using tailored pediatric MSCT protocols. Morphometric parameters were compared with international craniofacial databases. Clinical, neurological, ophthalmological, and cosmetic outcomes were evaluated. Optimized protocols led to a radiation dose reduction of 30–40%. Advanced statistical methods, including t-test, ANOVA, and Bayesian network meta-analysis, revealed factors associated with better surgical outcomes. The proposed strategy significantly improved preoperative planning, surgical precision, and postoperative rehabilitation in pediatric patients. Keywords: Craniosynostosis, children, MSCT, morphometry, 3D reconstruction, radiation dose, craniofacial surgery, Bayesian meta-analysis. Relevance Craniosynostosis affects approximately 1 in 2,000 live births, requiring early diagnosis and intervention to avoid intracranial hypertension and severe craniofacial deformities. MSCT with 3D reconstruction is the diagnostic gold standard, but the pediatric population demands a careful balance between image quality and radiation safety. Over 80% of centers worldwide lack standardized protocols for pediatric craniofacial imaging. This study addresses this gap by developing optimized MSCT protocols with dose reductions of up to 40%, enabling detailed anatomical assessment with minimized risk. Incorporating morphometric analysis, clinical outcomes, and long-term follow- up, the study proposes a standardized, safe, and effective workflow. The relevance lies in integrating diagnostic accuracy, surgical planning, and functional recovery into a unified strategy, potentially impacting national and international standards of care for children with craniosynostosis. Objective: 166 ACADEMIC RESEARCH IN MODERN SCIENCE International scientific-online conference To develop and validate an optimized surgical strategy for craniosynostosis in children using preoperative MSCT imaging, with a focus on diagnostic accuracy, radiation safety, and clinical outcomes.