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Correction of posterior sagittal craniosynostosis
K Y Lin1, T J Gampper, J A Jane
1Department of Plastic Surgery, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
The Journal of Craniofacial Surgery
|April 29, 1998
Summary
This study introduces a novel surgical technique for bathrocephaly, a posterior sagittal synostosis. The new method uses absorbable hardware to reshape the skull, aiming for improved and stable correction of this craniosynostosis deformity.
Area of Science:
- Craniofacial Surgery
- Pediatric Neurosurgery
- Biomaterials Engineering
Background:
- Craniosynostosis affecting the posterior sagittal suture leads to bathrocephaly, a distinct skull deformity.
- Current surgical interventions, such as the reverse pi procedure, have shown variable outcomes.
- A need exists for more consistent and effective surgical correction methods for posterior sagittal synostosis.
Purpose of the Study:
- To present a novel surgical technique for correcting bathrocephaly.
- To describe a method for expanding the transverse posterior skull while reducing the longitudinal dimension.
- To evaluate the use of absorbable microplate-reinforced bone struts and mesh plates for stable craniofacial reconstruction.
Main Methods:
- A new surgical approach was developed for bathrocephaly correction.
- An absorbable microplate-reinforced bone strut was utilized as a foundational framework for skull reconfiguration.
- Absorbable mesh plates were employed to achieve posterior skull compression, with fixation limited to absorbable hardware.
Main Results:
- The described method facilitates simultaneous expansion of the transverse posterior skull and reduction of its longitudinal dimension.
- The use of a reinforced bone strut framework provides stability and prevents relapse.
- Employing absorbable hardware minimizes interference with the growing craniofacial skeleton.
Conclusions:
- The presented technique offers a promising new method for surgical correction of bathrocephaly.
- The novel approach utilizes stable, absorbable fixation to achieve desired skull reshaping.
- This method addresses the limitations of previous procedures, potentially leading to more consistent outcomes in treating posterior sagittal synostosis.