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First Reconstructive Cranioplasty Performed on a 1-Year-Old child in Georgia

For the first time in Georgia, a one-year-old child underwent reconstructive cranioplasty at M. Iashvili Children’s Central Hospital. The infant was admitted with a severe cranial deformity, and diagnostic tests revealed premature cranial suture ossification in the early stages. The child was diagnosed with a complex form of craniosynostosis, a congenital condition in which the sutures between the skull bones close prematurely, before the brain has fully developed.

In this case, the skull deformation was causing a reduction in intracranial volume, leading to increased pressure on the brain. Such conditions often result in delayed psycho-motor development and pose a high risk of secondary brain damage.

Given the severity of the condition, neurosurgeon Vladimir Tsikarishvili decided to proceed with reconstructive cranioplasty. Despite the high risk of complications, the complex neurosurgical procedure was successfully completed. The patient was discharged in stable condition, and follow-up examinations have shown positive results.

Pulmonary Center

The Pulmonary Center specializes in the diagnosis, treatment, and management of various pulmonary pathologies. The involvement of a multidisciplinary team ensures personalized ambulatory services for pediatric patients aged 0 to 18 who require specialized care for congenital, acquired, allergic, and rare pulmonary conditions, as well as tuberculosis and diseases of the thoracic cavity organs. The treatment process includes specialists from various fields (pediatricians, pediatric pulmonologists, phthisiatrists, allergists, pediatric surgeons, endoscopists, and radiologists).

The center successfully manages diseases associated with lung collapse, pleural complications, and acute respiratory failure, as well as acute respiratory infections (acute bronchitis, croup, bronchiolitis), chronic pulmonary diseases (cystic fibrosis, interstitial pneumonia, bronchial asthma), and pulmonary pathologies related to neuro-muscular complications. The center also provides differential diagnosis for suspected tuberculosis cases.

In terms of respiratory system diagnostics, a full spectrum of instrumental and laboratory tests is available, including high-tech and specific examinations, such as:

• Spirometry – assessment of external respiratory function
• Basic allergic testing
• Computed tomography (CT)
• Radiological examinations
• Echocardiographic study of the thoracic cavity
• Endoscopic diagnostics, including bronchoscopy
• Early diagnosis of wheezing using the Wheeze Scan apparatus
• Complete viral panel testing for respiratory system acute infections based on the Lugar Laboratory
Laboratory studies, including bacterial, biochemical, and immunological investigations

International Conference on Pediatric Endocrinology and Diabetes