Internal distraction osteogenesis to correct symptomatic cephalocranial disproportion.
1Milwaukee, Wis. From the Department of Plastic Surgery, Craniofacial Center, Children's Hospital of Wisconsin, Medical College of Wisconsin.
Plastic and Reconstructive Surgery
|November 3, 2010
Summary
Symptomatic cephalocranial disproportion in children with sagittal synostosis can be effectively treated with posterior cranial vault distraction osteogenesis. This safe procedure resolves elevated intracranial pressure and improves symptoms in older children.
Area of Science:
- Neurosurgery
- Pediatric Craniofacial Surgery
- Orthognathic Surgery
Background:
- Cephalocranial disproportion, a volume mismatch between brain and intracranial space, can cause elevated intracranial pressure in nonsyndromic single-suture craniosynostosis.
- Delayed or inadequate treatment of craniosynostosis can lead to symptomatic cephalocranial disproportion, even in older children.
Observation:
- This study presents five children with sagittal synostosis and symptomatic cephalocranial disproportion treated with asymmetric transverse cranial vault distraction osteogenesis.
- The surgical technique involved preferential expansion of the posterior cranium using specific device components to minimize failure and achieve lateral rotation of parietal bones.
Findings:
- All five patients experienced resolution or amelioration of preoperative symptoms following distraction osteogenesis.
- The average distracted distance was 14.4 mm, with no perioperative complications reported.
- Follow-up averaged 4.2 years, demonstrating no recurrence of symptoms.
Implications:
- Asymmetric transverse distraction of the posterior cranial vault is a safe and effective treatment for symptomatic cephalocranial disproportion in older pediatric patients with craniosynostosis.
- This technique offers a viable solution for managing complex craniofacial abnormalities and improving patient outcomes.
More Related Videos
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:22Sutures of the Skull
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...