Discussion. Reoperation for intracranial hypertension in TWIST1-confirmed Saethre-Chotzen syndrome: a 15-year review

Syndromic craniosynostosis

Although most cases of craniosynostosis are nonsyndromic, craniosynostosis is known to occur in conjunction with other anomalies in well-defined patterns that make up clinically recognized syndromes. Patients with syndromic craniosynostoses are much more complicated to care for, requiring a multidisciplinary approach to address all of their needs effectively. This review describes the most common craniosynostosis syndromes, their characteristic features and syndrome-specific functional issues, and new modalities utilized in their management. General principles including skull development, the risk of developing increased intracranial pressure in craniosynostosis syndromes, and techniques to measure intracranial pressure are discussed. Evolving techniques of the established operative management of craniosynostosis are discussed together with more recent techniques including spring cranioplasty and posterior cranial vault distraction osteogenesis.

Posterior cranial vault expansion using distraction osteogenesis

PURPOSE

Posterior vault expansion using distraction osteogenesis has become a vital instrument in our institution, particularly as a first-line treatment in syndromic craniosynostosis. In this review, we highlight the several advantages, diverse utility, and technicalities of the operative procedure.

METHODS

A review of the literature and explanation of the technical details of the procedures were described in this manuscript.

RESULTS/CONCLUSION

Posterior cranial vault distraction offers several benefits over traditional expansion procedures.