1
|
Kulker D, Louisy A, Listrat A, Travers N, Pare A, Laure B. Is reverse frontal cranioplasty eligible for the correction of both the forehead deformities and the intracranial hypertension in craniosynostosis? Comparison of the preoperative and postoperative intracranial volumes. J Craniomaxillofac Surg 2021; 49:815-822. [PMID: 34217566 DOI: 10.1016/j.jcms.2021.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 02/21/2021] [Accepted: 03/20/2021] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND This study aimed to describe the surgical technique of reverse frontal cranioplasty (RFC), the aesthetical modification as well as the modification of intracranial volume (ICV) to assess its potential eligibility for the treatment of the intracranial hypertension (IH). MATERIALS AND METHODS A retrospective monocentric study included the patients with a history of craniosynostosis with a forehead deformity who underwent RFC. A subjective outcome questionnaire (SOQ) was conducted with each patient or their parent to determine their level of satisfaction after RFC. Pre- and postoperative computed tomography (CT) scans were analyzed and compared to investigate the ICV change and fronto-nasal angle. RESULTS Eleven patients were included in the study (6 female and 5 male) with a mean age of 10.9 years old (range 3-23 years) and an average follow-up of 4.5 years (1-11 years). All patients responded to the questionnaire with a high level of overall satisfaction (mean 9.1/10). The mean preoperative FNA was 134° ± 5° while the mean postoperative angle was 126.4° ± 6, corresponding to an average decrease of 7.6° (95% CI, 4.0-11.2°; p < 0.001). One patient with preoperative IH had a clinical recurrence during the follow-up. The ICV was significantly higher after the surgery (p < 0.0001), with an average increase of 3.2% (95% CI, 2.3-4.1%). CONCLUSION Reverse (RFC) is a useful technique for the correction of the frontal malformations related to craniosynostosis, such as a sloping forehead and/or a lack of the supraorbital projection. Regarding the limited gain of intracranial volume (ICV), it should not be used alone as primary cranial expansion surgery for craniosynostosis with intracranial hypertension (IH).
Collapse
Affiliation(s)
- D Kulker
- Department of Maxillofacial and Plastic Surgery, Burns Unit, Trousseau Hospital, 37000, Tours, France; University of François Rabelais, School of Medicine, 37000, Tours, France.
| | - A Louisy
- Department of Maxillofacial and Plastic Surgery, Burns Unit, Trousseau Hospital, 37000, Tours, France; University of François Rabelais, School of Medicine, 37000, Tours, France
| | - A Listrat
- Department of Pediatric Neurosurgery, Clocheville Hospital, Reference Center for Rare Craniofacial Malformations, Tours University Hospital, 37000, France
| | - N Travers
- Department of Pediatric Neurosurgery, Clocheville Hospital, Reference Center for Rare Craniofacial Malformations, Tours University Hospital, 37000, France
| | - A Pare
- Department of Maxillofacial and Plastic Surgery, Burns Unit, Trousseau Hospital, 37000, Tours, France; University of François Rabelais, School of Medicine, 37000, Tours, France
| | - B Laure
- Department of Maxillofacial and Plastic Surgery, Burns Unit, Trousseau Hospital, 37000, Tours, France; University of François Rabelais, School of Medicine, 37000, Tours, France; Department of Pediatric Maxillofacial Surgery and Craniofacial Surgery, Clocheville Hospital, Reference Center for Rare Craniofacial Malformations, Tours University Hospital, 37000, France
| |
Collapse
|
2
|
Joly A, Croise B, Travers N, Listrat A, Pare A, Laure B. Management of isolated and complex craniosynostosis residual deformities: What are the maxillofacial tools? Neurochirurgie 2019; 65:295-301. [DOI: 10.1016/j.neuchi.2019.09.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 09/11/2019] [Accepted: 09/16/2019] [Indexed: 10/26/2022]
|
3
|
Laure B, Batut C, Benouhagrem A, Joly A, Travers N, Listrat A, Pare A. Addressing hypertelorism: Indications and techniques. Neurochirurgie 2019; 65:286-294. [PMID: 31557491 DOI: 10.1016/j.neuchi.2019.09.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Revised: 08/26/2019] [Accepted: 09/10/2019] [Indexed: 10/25/2022]
Abstract
From its first descriptions in the early 1920s to today's use of cutting guides via computer-assisted surgery, surgical techniques to address hypertelorism have progressed. The present article aims to provide historical background and an overview of the development of surgical techniques during the late 20th century and in recent years. First, a historical overview identifies the most important surgical advances leading to the present state of the art. Each major surgical innovation is described, to explain the changes in this surgical field, according to the type of approach. Then, a precise description of today's most recent practices is provided, with particular emphasis on the spectacular advances deriving from computer-assisted surgery. A thorough description of the use of cutting guides throughout the surgical phase is given.
Collapse
Affiliation(s)
- B Laure
- Department of pediatric maxillofacial surgery and craniofacial surgery, Clocheville hospital, 37044 Tours, France; Reference center for rare craniofacial malformations, Clocheville hospital, 37044 Tours, France; François Rabelais university of medicine, Tours university hospital, 2, bis boulevard Tonnellé, 37000 Tours, France.
| | - C Batut
- Department of pediatric maxillofacial surgery and craniofacial surgery, Clocheville hospital, 37044 Tours, France; François Rabelais university of medicine, Tours university hospital, 2, bis boulevard Tonnellé, 37000 Tours, France
| | - A Benouhagrem
- Department of pediatric maxillofacial surgery and craniofacial surgery, Clocheville hospital, 37044 Tours, France; François Rabelais university of medicine, Tours university hospital, 2, bis boulevard Tonnellé, 37000 Tours, France
| | - A Joly
- Department of pediatric maxillofacial surgery and craniofacial surgery, Clocheville hospital, 37044 Tours, France; Reference center for rare craniofacial malformations, Clocheville hospital, 37044 Tours, France; François Rabelais university of medicine, Tours university hospital, 2, bis boulevard Tonnellé, 37000 Tours, France
| | - N Travers
- Department of pediatric neurosurgery, Clocheville hospital, 37044 Tours, France; Reference center for rare craniofacial malformations, Clocheville hospital, 37044 Tours, France
| | - A Listrat
- Department of pediatric neurosurgery, Clocheville hospital, 37044 Tours, France; Reference center for rare craniofacial malformations, Clocheville hospital, 37044 Tours, France
| | - A Pare
- Department of pediatric maxillofacial surgery and craniofacial surgery, Clocheville hospital, 37044 Tours, France; Reference center for rare craniofacial malformations, Clocheville hospital, 37044 Tours, France; François Rabelais university of medicine, Tours university hospital, 2, bis boulevard Tonnellé, 37000 Tours, France
| |
Collapse
|
4
|
Baldini N, Pare A, Badja S, Veyssiere A, Kün-Darbois JD. Cholesterol granuloma of the maxilla. Morphologie 2018; 102:41-43. [PMID: 29426795 DOI: 10.1016/j.morpho.2018.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2017] [Revised: 01/11/2018] [Accepted: 01/12/2018] [Indexed: 11/18/2022]
Abstract
Intra-osseous cholesterol granuloma (CG) is a rare and benign lesion. Very few cases of CG of the jaws have been described in the literature. CG of the jaws seems to be due to the accumulation of cholesterol of hematogenous origin in odontogenic cysts. We report on one case of CG of the maxilla treated by surgical enucleation in a 46-year-old man who presented an asymptomatic swelling of the maxilla.
Collapse
Affiliation(s)
- N Baldini
- Service de chirurgie maxillo-faciale et stomatologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France
| | - A Pare
- Service de chirurgie maxillo-faciale et stomatologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France
| | - S Badja
- Service de chirurgie maxillo-faciale et stomatologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France
| | - A Veyssiere
- Service de chirurgie maxillo-faciale et stomatologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France
| | - J D Kün-Darbois
- Service de chirurgie maxillo-faciale et stomatologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France; Groupe études remodelage osseux et biomatériaux (GEROM) - LHEA, IRIS-Institut de biologie en santé (IBS), université d'Angers, CHU d'Angers, 49933 Angers cedex, France.
| |
Collapse
|
5
|
Merlet FL, Grimaud F, Pace R, Mercier JM, Poisson M, Pare A, Corre P. Outcomes of functional treatment versus open reduction and internal fixation of condylar mandibular fracture with articular impact: A retrospective study of 83 adults. Journal of Stomatology, Oral and Maxillofacial Surgery 2018; 119:8-15. [DOI: 10.1016/j.jormas.2017.10.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Revised: 08/20/2017] [Accepted: 10/02/2017] [Indexed: 10/18/2022]
|
6
|
Joly A, Pare A, Goga D, Laure B. Frontal cranioplasty in fronto-metaphyseal dysplasia. J Stomatol Oral Maxillofac Surg 2017; 118:310-312. [PMID: 28619674 DOI: 10.1016/j.jormas.2017.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Revised: 04/27/2017] [Accepted: 06/01/2017] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Fronto-metaphyseal dysplasia (FMD), also called Gorlin-Cohen syndrome, is a rare syndrome initially described in 1969 by Gorlin and Cohen. Patients present skeletal dysplasia, craniofacial malformations and digit abnormalities. Craniofacial phenotype of FMD is characterized by supraorbital hyperostosis, hypertelorism, down-slanting palpebral fissures, broad nasal bridge and micrognathia. Here, we report the first adult case of craniofacial reconstruction with frontal cranioplasty in a patient with FMD. OBSERVATION A 21-year-old male patient presented with aesthetic requests related to his facial abnormalities. The patient underwent a fronto-orbital cranioplasty using a coronal approach. Orbital, frontal and nasal hyperostoses were contoured in order to obtain a symmetric result. The patient had no postoperative complication. Aesthetic results were satisfactory and stable after 6 months of follow-up. DISCUSSION The density and the quality of craniofacial bones were normal and this may account for the stability of cranioplasty results over time. Because bone was normal, cranioplasty is safety and stable in FMD.
Collapse
Affiliation(s)
- A Joly
- Service de chirurgie craniomaxillofaciale et stomatologie, hôpital Trousseau, CHU de Tours, 37000 Tours, France; Université François-Rabelais, 37000 Tours, France.
| | - A Pare
- Service de chirurgie craniomaxillofaciale et stomatologie, hôpital Trousseau, CHU de Tours, 37000 Tours, France; Université François-Rabelais, 37000 Tours, France
| | - D Goga
- Service de chirurgie craniomaxillofaciale et stomatologie, hôpital Trousseau, CHU de Tours, 37000 Tours, France; Université François-Rabelais, 37000 Tours, France
| | - B Laure
- Service de chirurgie craniomaxillofaciale et stomatologie, hôpital Trousseau, CHU de Tours, 37000 Tours, France; Université François-Rabelais, 37000 Tours, France
| |
Collapse
|
7
|
Kün-Darbois JD, Pare A, Goga D, Laure B. In situ squamous cell carcinoma arising in a mandibular radicular cyst. Eur Ann Otorhinolaryngol Head Neck Dis 2015; 132:305-6. [PMID: 26344140 DOI: 10.1016/j.anorl.2015.08.030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- J-D Kün-Darbois
- Service de chirurgie maxillo-faciale et stomatologie, CHU d'Angers, 4, rue Larrey, 49033 Angers cedex 01, France; Service de chirurgie maxillo-faciale et plastique de la face, CHU Trousseau, route de Loche, 37044 Tours cedex, France.
| | - A Pare
- Service de chirurgie maxillo-faciale et plastique de la face, CHU Trousseau, route de Loche, 37044 Tours cedex, France
| | - D Goga
- Service de chirurgie maxillo-faciale et plastique de la face, CHU Trousseau, route de Loche, 37044 Tours cedex, France
| | - B Laure
- Service de chirurgie maxillo-faciale et plastique de la face, CHU Trousseau, route de Loche, 37044 Tours cedex, France
| |
Collapse
|
8
|
Da Costa G, Pare A, Goga D, Sury F, Laure B. [CT-scan evaluation of calvarial bone donor site reconstruction using calcium phosphate cement]. ACTA ACUST UNITED AC 2014; 115:140-4. [PMID: 24703439 DOI: 10.1016/j.revsto.2014.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Revised: 10/02/2013] [Accepted: 02/12/2014] [Indexed: 10/25/2022]
Abstract
UNLABELLED The aim of reconstructing a calvarial donor site with biomaterial is to reconstruct the skull vault. The aim of this retrospective study was to assess the quality of reconstruction of calvarial bone with Hydroset™ (Stryker™) in patients having undergone monocortical parietal bone graft harvesting. PATIENTS AND METHOD The donor sites of patients having undergone calvarial bone harvesting had been reconstructed with Hydroset™ cement over a period of four years. Calvarial bone reconstruction and the thickness of the parietal bone were evaluated by CT scan. RESULTS Twenty-six patients had undergone reconstruction. The CT scan revealed a good integration of Hydroset™ with maintained thickness of the biomaterial. The parietal bone thickness was increased by 0.67 mm on average (P=0.002). DISCUSSION The reconstruction of calvarial donor site bone defect with Hydroset™, after a monocortical harvesting, demonstrates parietal osseous thickness maintained in time.
Collapse
Affiliation(s)
- G Da Costa
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, CHU Trousseau, 37044 Tours cedex, France.
| | - A Pare
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, CHU Trousseau, 37044 Tours cedex, France
| | - D Goga
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, CHU Trousseau, 37044 Tours cedex, France
| | - F Sury
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, CHU Trousseau, 37044 Tours cedex, France
| | - B Laure
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, CHU Trousseau, 37044 Tours cedex, France
| |
Collapse
|
9
|
Poynard S, Pare A, Bonin Goga B, Laure B, Goga D. [Understanding of medical information provided during orthognathic surgery consultations]. ACTA ACUST UNITED AC 2014; 115:135-9. [PMID: 24507668 DOI: 10.1016/j.revsto.2013.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2013] [Revised: 09/04/2013] [Accepted: 10/03/2013] [Indexed: 11/16/2022]
Abstract
INTRODUCTION A prospective study was conducted from November 2012 to May 2013 to assess what patients had understood after their preoperative consultations for orthognathic surgery. We studied the impact of a written document created in the department, containing the information given during the consultation. MATERIALS AND METHODS Fifty patients were asked to complete 2 questionnaires given to the patient the day before surgery. The first was used to assess what the patients had understood; it included 20 multiple-choice questions on information given during consultation and in the written document. For each item, the patient had to check what he thought to be the right answer. Each correct answer was graded at 1 and each incorrect answer or no answer was graded at 0. The maximum score was 20/20. The second was to assess the written document. Each item was graded from 1 to 10 (Likert-type scale). RESULTS AND CONCLUSION Thirty-two patients answered both questionnaires. The average score for the first was 15.03/20 (P<0.05), significantly higher than the theoretical average set at 10 (P<0.05). The written document was found understandable (score 8.47/10) and information easy to find (score 7.28/10). The document provided answers to the patients' questions (score 7.50/10), using information given during consultation (score 7.56/10). DISCUSSION The 2 consultations and the written document helped patients better understand orthognatic care and surgery.
Collapse
Affiliation(s)
- S Poynard
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex, France.
| | - A Pare
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex, France
| | - B Bonin Goga
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex, France
| | - B Laure
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex, France
| | - D Goga
- Service de chirurgie maxillo-faciale et plastique de la face, université François-Rabelais de Tours, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex, France
| |
Collapse
|