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Reardon T, Fiani B, Kosarchuk J, Parisi A, Shlobin NA. Management of Lambdoid Craniosynostosis: A Comprehensive and Systematic Review. Pediatr Neurosurg 2022; 57:1-16. [PMID: 34864743 DOI: 10.1159/000519175] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Accepted: 08/20/2021] [Indexed: 11/19/2022]
Abstract
BACKGROUND Craniosynostosis is a condition characterized by the premature fusion of 2 or more skull bones. Craniosynostosis of the lambdoid suture is one of the rarest forms, accounting for 1-4% of all craniosynostoses. Documented cases are separated into simple (single suture), complex (bilateral), and associated with adjacent synostoses ("Mercedes Benz" Pattern) or syndromes (i.e., Crouzon, Sathre-Chotzen, Antley-Bixler). This condition can manifest phenotypic deformities and neurological sequelae that can lead to impaired cognitive function if improperly treated or left undiagnosed. Preferred surgical techniques have varied over time but all maintain the common goals of establishing proper head shape and preventing of complications that could contribute to aforementioned sequelae. SUMMARY This comprehensive review highlights demographic distributions, embryological development, pathogenesis, clinical presentation, neurological sequelae, radiologic findings, surgical techniques, surgical outcomes, and postoperative considerations of patients with lambdoid craniosynostosis presentation. In addition, a systematic review was conducted to explore the operative management of lambdoid craniosynostosis using PubMed, Embase, and Scopus databases, with 38 articles included after screening. Key Messages: Due to a low volume of published cases, diagnosis and treatment can vary. Large overlap in presentation can occur in patients that display lambdoid craniosynostosis and posterior plagiocephaly, furthering the need for comprehensive analysis. Possessing the knowledge and tools to properly assess patients with lambdoid craniosynostosis will allow for more precise care and improved outcomes.
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Affiliation(s)
- Taylor Reardon
- Kentucky College of Osteopathic Medicine, Pikeville, Kentucky, USA
| | - Brian Fiani
- Desert Regional Medical Center, Palm Springs, California, USA
| | | | | | - Nathan A Shlobin
- Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
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Clinical Practice Patterns in Nonsyndromic Craniosynostosis: A Review of Continuous Certification Tracer Data From the American Board of Plastic Surgery. J Craniofac Surg 2021; 32:2029-2034. [PMID: 33654035 DOI: 10.1097/scs.0000000000007592] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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A Posterior Rotational Flap Technique Using Distraction Osteogenesis for Unilateral Lambdoid Craniosynostosis. J Craniofac Surg 2021; 32:1365-1369. [PMID: 33427770 DOI: 10.1097/scs.0000000000007421] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION The craniofacial asymmetry seen in unilateral lambdoid craniosynostosis may not be effectively treated by posterior cranial vault remodeling, endoscopic suturectomy, and helmet therapy, or suturectomy and distraction osteogenesis alone due to limitations in soft-tissue envelope expansion and relapse of the deformity. The authors report a series of unilateral lambdoid craniosynostosis patients treated with a posterior rotational cranial-flap technique using internal distraction osteogenesis. METHODS Posterior cranial vault reconstruction combined with internal distraction was used, aided by preoperative virtual surgical planning. An in situ posterior rotational flap osteotomy was utilized to maximize dural preservation. Primary outcome measures included age-adjusted volume change and age-adjusted percent volume change per mm distraction. Distraction characteristics and perioperative characteristics were also assessed. RESULTS A total of 5 patients were identified. Mean predistraction intracranial volume was 1087.5 cc (SD = 202.3 cc) and mean postdistraction included intracranial volume was 1266.1cc (SD = 131.8cc). Mean age-adjusted percent included intracranial volume change was 14.1% (SD = 9.6%), and mean percent intracranial volume change per mm distraction was 0.43%/mm distraction (SD = 0.37%/mm distraction). One patient developed a distractor site infection postoperatively that was treated successfully with oral antibiotics. All patients had a Whitaker score of 1 at one year follow up. CONCLUSIONS Posterior cranial vault remodeling using osteogenesis and a rotational cranial flap technique with dural preservation can be effectively used to maximize bone flap viability and limit postoperative relapse in patients with unilateral lambdoid craniosynostosis. Long term analysis as well as comparison to open techniques will need to be interrogated.
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Savoldi F, Tsoi JKH, Paganelli C, Matinlinna JP. Sutural Morphology in the Craniofacial Skeleton: A Descriptive Microcomputed Tomography Study in a Swine Model. Anat Rec (Hoboken) 2019; 302:2156-2163. [DOI: 10.1002/ar.24230] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Revised: 04/16/2019] [Accepted: 05/17/2019] [Indexed: 12/21/2022]
Affiliation(s)
- Fabio Savoldi
- Dental Materials Science, Division of Applied Oral Sciences and Community Dental Care, Faculty of DentistryThe University of Hong Kong, Prince Philip Dental Hospital Sai Ying Pun Hong Kong
- Department of Orthodontics, Dental SchoolUniversity of Brescia Brescia Italy
| | - James K. H. Tsoi
- Dental Materials Science, Division of Applied Oral Sciences and Community Dental Care, Faculty of DentistryThe University of Hong Kong, Prince Philip Dental Hospital Sai Ying Pun Hong Kong
| | - Corrado Paganelli
- Department of Orthodontics, Dental SchoolUniversity of Brescia Brescia Italy
| | - Jukka P. Matinlinna
- Dental Materials Science, Division of Applied Oral Sciences and Community Dental Care, Faculty of DentistryThe University of Hong Kong, Prince Philip Dental Hospital Sai Ying Pun Hong Kong
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A Novel Method for Quantifying Intracranial Volume Change by Distraction Osteogenesis for Craniosynostosis. Ann Plast Surg 2018; 80:S251-S256. [DOI: 10.1097/sap.0000000000001381] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Savoldi F, Tsoi JK, Paganelli C, Matinlinna JP. The Biomechanical Properties of Human Craniofacial Sutures and Relevant Variables in Sutural Distraction Osteogenesis: A Critical Review. TISSUE ENGINEERING PART B-REVIEWS 2018; 24:25-36. [DOI: 10.1089/ten.teb.2017.0116] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Fabio Savoldi
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong
- Department of Orthodontics, Dental School, University of Brescia, Brescia, Italy
| | - James K.H. Tsoi
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong
| | - Corrado Paganelli
- Department of Orthodontics, Dental School, University of Brescia, Brescia, Italy
| | - Jukka P. Matinlinna
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong
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Elbanoby T. Craniofacial Distraction in the Management of Anterior Plagiocephaly: A Novel Idea and a Systematic Review of the Literature. Pediatr Neurosurg 2018; 53:193-199. [PMID: 29408824 DOI: 10.1159/000486202] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Accepted: 12/10/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND The objective of this work is to present a review of all reports involving the management of unicoronal synostosis with distraction osteogenesis (DO). Also, we have innovated a new method in the treatment of cases of anterior plagiocephaly at a young age using DO. METHODS We present a case in which anterior plagiocephaly was treated by DO of both metopic and hemicoronal sutures in a 4-month-old female patient. A comprehensive systematic literature review was completed using the search terms "distraction osteogenesis," "unicoronal synostosis," "anterior plagiocephaly," and "craniosynostosis." We excluded all experimental articles and reviewed clinical reports detailing the use of DO in the management of unicoronal synostosis. RESULTS The study sample of this review consisted of 16 reports published over a period of 17 years that were analyzed in detail. The total number of patients treated by DO was 120, and the mean age at operation was 12 months. In the case presented, successful correction of the unicoronal synostosis was achieved. CONCLUSION Hemicoronal and metopic suture distraction in anterior plagiocephaly achieves considerable improvement in the midline shift of the anterior cranial base and naso-orbital complex.
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Affiliation(s)
- Tarek Elbanoby
- Plastic and Burn Surgery Department, Al-Azhar University, Cairo, Egypt
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Early Complications and Associated Perioperative Factors in Nonsyndromic Craniosynostosis. J Craniofac Surg 2017; 28:1425-1430. [DOI: 10.1097/scs.0000000000003589] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Savoldi F, Tsoi JKH, Paganelli C, Matinlinna JP. Biomechanical behaviour of craniofacial sutures during distraction: An evaluation all over the entire craniofacial skeleton. Dent Mater 2017; 33:e290-e300. [PMID: 28583671 DOI: 10.1016/j.dental.2017.04.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Revised: 04/15/2017] [Accepted: 04/28/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Sutures are fibrous joints connecting the bones of the head. Despite the fundamental role played by sutures in dentofacial orthopaedics, their biomechanical properties are not completely understood. This study evaluated anatomy, biomechanics, and acoustic emission (AE) during distraction of the sutural ligament (SL). METHODS Seventy-two suture samples were removed from a twelve-months-old swine (Sus scrofa) head. Each volume was acquired using micro-computed tomography (μCT), and the linear interdigitation index was calculated on both planes (LIICOR and LIISAG). Mechanical testing till failure was carried at 1mm/min, and four piezoelectric sensors were used for recording of amplitude (A), duration (D), and energy (E) of AE. The relationships between interdigitation, fracture types, tensile stress (σ0), and AE were statistically analysed with non-parametric tests (α=0.05). RESULTS σ0 of the SL had median values of 4.0MPa, and AE were characterised by A of 49.3dB (IQR=2.2), D of 826.3μs (IQR=533.4), and E of 57,715.8 eu (IQR=439,613.5). Most of the fractures happened in the SL (46%), some within the bone (34%), and fewer were combined (19%). LIICOR had correlation with A (0.383, p=0.028), D (0.348, p=0.048), and E (0.437, p=0.011) of the AE, and σ0 had similar relationship with A (0.500, p=0.003), D (0.495, p=0.003), and E (0.579, p<0.001). Maximum energy values were different between fractures within the bone and within the SL (p=0.021). SIGNIFICANCE Biomechanical properties under tension of most of the sutures of the craniofacial skeleton were reported. AE provided information about the sequence of events during SL distraction, and had significant relationship with its mechanical properties. Further studies are necessary to confirm these preliminary findings, and to identify their relationship with biological processes and dentofacial treatments.
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Affiliation(s)
- Fabio Savoldi
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, PR China; Department of Orthodontics, Dental School, University of Brescia, P.le Spedali Civili, 25123 Brescia, Italy.
| | - James K H Tsoi
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, PR China.
| | - Corrado Paganelli
- Department of Orthodontics, Dental School, University of Brescia, P.le Spedali Civili, 25123 Brescia, Italy.
| | - Jukka P Matinlinna
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, PR China.
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The Total Calvarial Transsutural Distraction Osteogenesis for 26 Children with Slit Ventricle, Craniosynostosis, or Microcephaly After Shunt Operation. World Neurosurg 2017; 97:701-709.e1. [DOI: 10.1016/j.wneu.2016.09.093] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 09/20/2016] [Accepted: 09/22/2016] [Indexed: 11/17/2022]
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Craniosynostosis: A multidisciplinary approach based on medical, social and demographic factors in a developing country. REVISTA MÉDICA DEL HOSPITAL GENERAL DE MÉXICO 2016. [DOI: 10.1016/j.hgmx.2016.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Savoldi F, Tsoi JKH, Paganelli C, Matinlinna JP. Evaluation of rapid maxillary expansion through acoustic emission technique and relative soft tissue attenuation. J Mech Behav Biomed Mater 2016; 65:513-521. [PMID: 27669497 DOI: 10.1016/j.jmbbm.2016.09.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Revised: 08/30/2016] [Accepted: 09/10/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Acoustic emission (AE) is a non-destructive test to detect energy release. This technique was applied during rapid maxillary expansion (RME) to evaluate the reaction of the craniofacial skeleton. MATERIALS AND METHODS A swine model was analysed. Soft tissues were removed from two heads, while other two were preserved intact. A palatal expander (PE) was positioned and AE sensors were placed on the intermaxillary, fronto-nasal, and maxillo-lacrimal sutures. The PE was activated and AE recorded during RME. Differences between parameters were analysed with Mann-Whitney U test and Kruskal-Wallis test, and correlations with Spearman-Rho test (significance p<0.05). RESULTS PE activations were accompanied by clusters of AE hits. In the presence of soft tissues, amplitudes were generally lower (p<0.001) and durations were higher (p<0.001). No differences were found in the respective energy values. Differences were found in the AE (p<0.05) among the four channels, with AE characterised by higher values in proximity of the maxillo-lacrimal sutures. High-energy hits were represented by burst-type waves, and low-energy ones by continuous-type. CONCLUSIONS Although soft tissues create possible attenuation of the signal, AE can be detected during RME with sensors on the skin. AE provided further information of energy release, on top of the mechanical parameters. Source location was one of the main limitations.
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Affiliation(s)
- Fabio Savoldi
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, PR China; Department of Orthodontics, Dental School, University of Brescia, Brescia, Italy
| | - James K H Tsoi
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, PR China.
| | - Corrado Paganelli
- Department of Orthodontics, Dental School, University of Brescia, Brescia, Italy
| | - Jukka P Matinlinna
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, PR China
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Park DH, Yoon SH. Transsutural distraction osteogenesis for 285 children with craniosynostosis: a single-institution experience. J Neurosurg Pediatr 2016; 17:230-239. [PMID: 26382181 DOI: 10.3171/2015.5.peds14585] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECT Although distraction osteogenesis (DO) requires a secondary procedure in the surgical correction of craniosynostosis, it is relatively simple, requires less transfusion, results in a shorter intensive care unit stay, and is quite safe. Because of these positive factors, various DO techniques have been developed. However, there is disagreement regarding the superiority of DO. The authors reported on a new DO technique, transsutural DO (TSDO), 6 years ago that was performed in 23 patients over a period of 6 months, and it continues to be used at the present time. In this paper the authors report the results of TSDO performed in 285 patients with craniosynostosis over a period of 6 years at a single institution. METHODS TSDO consists of a simple suturectomy of the pathological suture followed by direct distraction of the suturectomy site only. Types of TSDO conducted included sagittal TSDO in 95 patients, bicoronal in 14, unilateral coronal in 57, lambdoid in 26, metopic in 13, multiple in 19, syndromic in 33, and secondary in 28. The mean age (± SD) of the patients was 19.4 ± 23.0 months, and mean follow-up was 39.5 ± 21.0 months. RESULTS The mean operating time was 115 ± 43 minutes, and mean anesthesia time was 218 ± 56 minutes. The mean transfusion volume of red blood cell components was 48 ± 58 ml, and mean transfusion volume of fresh-frozen plasma was 19 ± 35 ml. Total transfusion volume was significantly less in infants younger than 12 months of age and in children with lower lumbar puncture pressures (p < 0.05). Complications included 1 (0.4%) death from postoperative acute pneumonia after a distractor removal operation and 23 (8%) surgical morbidities comprising 10 revisions (3.5%) and 13 early removals of distracters (4.6%). CONCLUSIONS TSDO is a simple, effective, and safe method to use for treating all types of craniosynostosis. Some morbidity was experienced in this study, but it may be attributed to the learning curve of the technique.
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Affiliation(s)
- Dong Ha Park
- Departments of 1 Plastic and Reconstructive Surgery, and
| | - Soo Han Yoon
- Neurosurgery, Ajou University School of Medicine, Suwon, Korea
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Park DH, Yoon SH. The Total Calvarial Remodeling with Transsutural Distraction Osteogenesis of 21 Cases of Craniosynostosis: New, Efficient, Safe and Natural Method in Craniosynostosis Surgery. Pediatr Neurosurg 2015; 50:119-27. [PMID: 25968990 DOI: 10.1159/000381860] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2014] [Accepted: 03/19/2015] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The majority of the present distraction osteogenesis techniques involve local site expansion that only produces localized decompression and affords limited decompression and cosmetic results. We designed a new surgical procedure, total calvarial transsutural distraction osteogenesis (TSuDO). METHODS We performed total calvarial TSuDO surgical procedures in 21 children. The total calvarial TSuDO method consisted of suturectomy and distraction for the sagittal, bicoronal and bilambdoid sutures. RESULTS The mean surgery duration was 110 ± 16 min, the mean transfusion volume was 38 ± 45 ml, an average 4.1 ± 0.4 distractors were applied with a mean latency period of 3.3 ± 0.9 days. The mean activation period was 45 ± 18 days with a consolidation period of 54 ± 23 days. There were 3 complication cases of early removal of the distractors: 1 boy with transient 6th cranial nerve palsy accompanied by fever and 2 children with mild pus discharge from the distractor sites. Preoperative lumbar puncture pressures decreased significantly after distractor removal secondary to surgery (p < 0.001). The preoperative cranium size increased significantly (p < 0.001). CONCLUSION Total calvarial TSuDO is a simple and safe procedure that may produce wide generalized decompression and good cranial configurations that most closely resemble normal skulls.
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Affiliation(s)
- Dong Ha Park
- Department of Neurosurgery, Ajou University School of Medicine, Suwon, South Korea
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Yoo H, Chung SA, Yoon SH. Abducens Nerve Palsy Following Expansion Cranioplasty with Distraction Osteogenesis. Neuroophthalmology 2014; 38:326-330. [PMID: 27928320 PMCID: PMC5123115 DOI: 10.3109/01658107.2014.947539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2014] [Revised: 06/27/2014] [Accepted: 07/13/2014] [Indexed: 11/13/2022] Open
Abstract
Childhood abducens nerve palsy can occur as a result of trauma, tumour, vasculopathic disease, elevated intracranial pressure, infection, inflammation, and congenital or idiopathic causes. The authors present two cases of unilateral abduction deficit secondary to a recent trans-sutural distraction osteogenesis (TSuDO) operation for craniosynostosis. After distractor removal, the problem resolved spontaneously over 2-4 months in both cases. This is a first reported case of sixth nerve palsy as a complication of TSuDO operation.
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Affiliation(s)
- Hyungyu Yoo
- Department of Ophthalmology, Ajou University School of MedicineSuwonKorea
- 521st Air Defense Artillery Battalion, Republic of Korea Air ForcePyeongtaekKorea
| | - Seung Ah Chung
- Department of Ophthalmology, Ajou University School of MedicineSuwonKorea
| | - Soo Han Yoon
- Department of Neurosurgery, Ajou University School of MedicineSuwonKorea
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Abstract
INTRODUCTION Craniosynostosis is a rare condition that affects approximately one child in every 2,000 live births, and involves pathological fusion of two or more skull bones. Consequences of craniosynostosis include possible limitation of brain growth and cosmetic effects on the appearance of the child. Traditional repairs for these conditions over the past 3-4 decades have involved an open operation with a large skin incision and major manipulations of the skull bones. More recently, minimally invasive endoscopic techniques have been developed to release the skull bones, followed by postoperative treatment with either an external orthosis or internal springs and distractors to achieve the desired correction. METHODS In this review minimally invasive endoscopic repair will be reviewed. A general overview of the condition and techniques for correction will be discussed, followed by specific application of these surgeries for different craniosynostosis diagnoses. Attention to the subtleties of each specific condition will be highlighted. SUMMARY Over the past two decades clinical experience and a large number of publications have substantiated the benefits of minimally invasive endoscopic techniques for the treatment of craniosynostosis. These techniques have clear benefits for selected patients, and should be part of the standard of care for this condition at craniofacial centers.
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Affiliation(s)
- Mark R Proctor
- Department of Neurosurgery, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
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Abstract
LEARNING OBJECTIVES After studying this article, the participant should be able to: (1) Make the appropriate diagnosis for each of the single-sutural synostoses, based on the physical examination. (2) Explain the functional concerns associated with these synostoses and why surgical correction is indicated. (3) Distinguish between the different types of surgical corrections available, the timing for these various interventions, and in what ways these treatments achieve overall management objectives. (4) Identify the basic goals involved in caring for the syndromic synostoses. SUMMARY This article provides an overview of the diagnosis and management of infants with craniosynostosis. This review also incorporates some of the treatment philosophies followed at The Craniofacial Center in Dallas, but is not intended to be an exhaustive treatise on the subject. It is designed to serve as a reference point for further in-depth study by review of the reference articles presented. This information base is then used for self-assessment and benchmarking in parts of the Maintenance of Certification process of the American Board of Plastic Surgery.
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Melo JRT, Portella Junior CSA, Lelis LC, Pires de Lima E. Scaphocephaly and cranial vault reconstruction: Renier's 'H' technique. Pediatr Neurosurg 2013; 49:223-8. [PMID: 25138584 DOI: 10.1159/000365660] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2014] [Accepted: 07/02/2014] [Indexed: 11/19/2022]
Abstract
BACKGROUND Resulting from an early fusion of the sagittal suture, scaphocephaly (SC) is the most frequent form of all craniosynostosis and represents 40-60% of all cases. The scope of this study is to describe the first series of Renier's 'H' technique to be applied in children with SC outside of France. METHODS A consecutive review is made of the medical records of children hospitalized in the last 6 years (between March 2007 and March 2013) with isolated SC in whom Renier's 'H' technique was performed. RESULTS Thirteen children met the criteria for inclusion in the study. Considering medical evaluation and parental satisfaction, the evaluation of postsurgical cranial reconstruction was classified as satisfactory in all cases. CONCLUSIONS We consider the Renier's H technique to be effective in the cranial reshaping of children with isolated SC, with satisfactory esthetic postsurgical results.
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Park DH, Yoon SH. Craniofacial malformation treatment: craniosynostosis and positional plagiocephaly. JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 2012. [DOI: 10.5124/jkma.2012.55.9.878] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Dong Ha Park
- Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine, Suwon, Korea
| | - Soo Han Yoon
- Department of Neurosurgery, Ajou University School of Medicine, Suwon, Korea
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