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[Management of syndromic craniosynostosis using posterior cranial vault distraction osteogenesis:preliminary

Chenbin Dong, Chenbin Dong, Jun Li

    Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
    |August 3, 2018
    PubMed

    Insights

    Posterior vault distraction osteogenesis effectively expands the posterior cranial vault in children with syndromic craniosynostosis. This surgical technique offers a viable solution for managing this complex condition.

    Area of Science:

    • Pediatric Neurosurgery
    • Craniofacial Surgery
    • Orthopedic Surgery

    Background:

    • Syndromic craniosynostosis involves premature fusion of cranial sutures, leading to abnormal head shape and potential intracranial pressure issues.
    • Management often requires surgical intervention to correct skull deformities and ensure adequate brain growth.

    Purpose of the Study:

    • To evaluate the efficacy of posterior vault distraction osteogenesis in treating syndromic craniosynostosis.
    • To assess the outcomes and complications associated with this surgical approach.

    Main Methods:

    • A retrospective cohort study included four pediatric patients with syndromic craniosynostosis.
    • Posterior craniotomy followed by the insertion of distraction devices, activated at 0.5 mm/day after a 3-day latency period.
    • A consolidation period of approximately 6 months was observed post-distraction.

    Main Results:

    • An average posterior cranial vault distraction of 27.3 mm was achieved (range: 25-30 mm).
    • One patient experienced a cerebrospinal fluid leak; all patients underwent device removal after 3D CT confirmation.
    • Mean follow-up duration was 12.8 months (range: 7-20 months).

    Conclusions:

    • Posterior vault distraction osteogenesis is an effective method for enlarging the posterior cranial vault in syndromic craniosynostosis.
    • The procedure demonstrates potential for successful craniofacial reconstruction in affected children.
    Abstract

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