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Spring mediated dynamic craniofacial reshaping. Case report

C Lauritzen¹, Y Sugawara, O Kocabalkan

¹Department of Plastic Surgery, University Hospital, Göteborg, Sweden.

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery

|October 24, 1998

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Implantable springs offer a promising new method for gradual skull reshaping after craniofacial surgery. This technique successfully corrected severe deformities in two young patients, improving both appearance and function.

Area of Science:

Plastic Surgery
Craniofacial Surgery
Biomedical Engineering

Background:

Craniofacial malformations present complex surgical challenges requiring innovative solutions.
Traditional corrective surgeries may have limitations in achieving optimal postoperative outcomes.
Gradual, controlled reshaping is desirable for complex craniofacial deformities.

Observation:

A novel technique utilizing implantable springs as an adjunct to corrective craniofacial surgery was applied.
Case 1: A 6-month-old with craniosynostosis and turricephaly underwent limited surgery with springs for skull reshaping.
Case 2: A 5-year-old with Apert syndrome and midface retrusion received springs after monobloc disjunction for facial advancement.

Findings:

In Case 1, spring removal at three months resulted in normalized skull shape clinically and on cephalograms.

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In Case 2, springs achieved 14 mm incisor and 16 mm frontal advancement within three months.

Postoperative improvements included resolution of exorbitism, reduced midface retrusion, and significant improvement in sleep apnea.

Implications:

Spring-assisted craniofacial distraction demonstrates significant potential as an adjunctive surgical technique.
This method offers a minimally invasive approach for gradual correction of complex craniofacial deformities.
Further research and clinical application are warranted to explore the full scope of this promising technology.