Advances in Craniosynostosis Research and Management

Guimarães-Ferreira, José; Miguéns, Joana Machado; Lauritzen, Christian

doi:10.1007/978-3-7091-0558-0_2

Cited by 24 publications

(10 citation statements)

References 224 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since the first attempts to treat skulls deformed by craniosynostoses, restoration of the stenotic line expandability (pri mary defect) and remodeling the areas of compensatory deformation (secondary defect) have been the main concerns. In the evolutionary history of the treatment of craniosynostoses, we reviewed extensive and morbid craniectomies and suturectomies that possibly involved the interposition of materials or caustic substances in an attempt to inhibit the recurrence of early suture closure 3,4 through distraction osteogenesis using external distractors 5 and skullcap re mo deling 1 . Such remodeling, the preferred practice still to day, follows various types of osteotomies, but all involve craniotomy using dural detachment, back table remodeling of the osteotomized cap, and its return as a graft fixed with varied materials.…”

Section: Introductionmentioning

confidence: 99%

Nautilus: craniotomia dinâmica - nova técnica cirúrgica e resultados preliminares

Cardim¹,

Silva

Salomons

et al. 2013

Rev. Bras. Cir. Plást.

View full text Add to dashboard Cite

Nautilus-shaped dynamic craniotomy: a new surgical technique and preliminary resultsNautilus: craniotomia dinâmica -nova técnica cirúrgica e resultados preliminares ABSTRACT Introduction: Considering that craniosynostosis is a suture-related condition, the main challenge for its treatment is the fact that the brain is located in a closed compartment that does not have the required adaptability to accommodate its growth. The goal of treat ment is to restore stenotic suture adaptability and correct the compensatory cranial deformity. This paper proposes the combined use of spiral osteotomy with distraction osteogenesis by the use of distracting springs to remodel craniofacial defects caused by craniosynostosis. Methods: Between July 2010 and July 2012, 10 patients with craniosynostosis were treated: 5 with oxycephaly, 3 with scaphocephaly, 1 with turricephaly, and 1 with trigonocephaly. The treatment consisted of the application of Lauritzen springs to correct the primary craniosynostosis defect in combination with a nautilus-shaped spiral craniotomy at the secondary deformation sites without dural detachment. Results: Resolution of cranial deformity and remission of the clinical signs of intracranial hypertension were observed. None of the patients had complications such as cerebrospinal fluid fistula, local infection, seroma, or hematoma. Conclusions: The combined use of spiral osteotomy with spring-mediated distraction or contraction enables active reshaping of the skull and facilitates accommodation of the brain by the cranial cavity. (clinicaltrials.gov identifier: NCT01672619) Keywords: Craniosynostoses. Osteogenesis, distraction. Craniotomy. RESUMOIntrodução: Considerando-se que as craniossinostoses são afecções basicamente suturais, o fato de o cérebro estar aprisionado em um compartimento fechado, que não possui a complacência necessária para acompanhar seu crescimento, se constitui no desafio principal de seu tratamento. O objetivo do tratamento é restabelecer a complacência da sutura estenótica e corrigir a deformidade craniana compensatória. Este trabalho propõe a associação de osteotomia helicoide à distração osteogênica proporcionada pelo uso das molas distratoras para remodelar defeitos craniofaciais causados por craniossinostoses. Método: Entre julho de 2010 e julho de 2012, foram tratados 10 pacientes portadores de craniossinostoses, sendo 5 oxicefalias, 3 escafocefalias, 1 turricefalia e 1 trigonocefalia. O tratamento consistiu na aplicação de molas de Lauritzen, para corrigir a deformidade primária da craniossinostose, com a associação de craniotomia helicoide em forma de Nautilus nos sítios de deformação secundária do crânio, sem descolamento dural. Resultados: Foi observada resolução da deformidade craniana e remissão dos sinais clínicos de hipertensão intracraniana. Nenhum

show abstract

Section: Introductionmentioning

confidence: 99%

Nautilus: craniotomia dinâmica - nova técnica cirúrgica e resultados preliminares

Cardim¹,

Silva

Salomons

et al. 2013

Rev. Bras. Cir. Plást.

View full text Add to dashboard Cite

show abstract

“…Rabbits have been widely used as experimental model in studies of behavior of cranial sutures, intracranial pressure, craniometric variations, evolution of fixation materials, and distraction of craniofacial structures (Mabbutt and Kokich 1979;Persson, Roy et al 1979;Alberius and Selvik 1983a;Alberius, Selvik et al 1986;Persing, Babler et al 1986;Alberius, Malmberg et al 1990;Smith, Mooney et al 1996;Singhal, Mooney et al 1997;Losken, Mooney et al 1998;Mooney, Siegel et al 1999;Wendy, Fellows-Mayle et al 2000;Gewalli, Guimaraes-Ferreira et al 2001;Putz, Smith et al 2001;Abreu 2002;David, Gewalli et al 2002;Gosain, Santoro et al 2002;David, Proffer et al 2004;Guimarães-Ferreira, Miguéns et al 2004;Cooper, Singhal et al 2006;Cardoso, Cançado et al 2007;Davis, Windh et al 2008;Davis, Windh et al 2009). Cerebral growth curve of rabbit specimens is similar to those of newborn human children: craniofacial growth in rabbits is accelareted immediately after birth, progressively decreasing from two to thirty-four weeks of age (Alberius, Selvik et al 1986;Abreu 2002).…”

Section: Discussionmentioning

confidence: 99%

“…There was a time when cranial malformations were considered a result of divine or supernatural reasons and there are pictures of Chinese gods that display tall heads or great projections in their frontal region. (Guimarães-Ferreira, Miguéns et al 2004) To such an extent that this intentional cranial deformation became part of the culture of ancient peoples. In the Americas, cases dated 8000 BC and this tradition only ceased in 1752 under the Spanish colonial domain.…”

Section: Introductionmentioning

confidence: 99%

“…The famous work "De Vulneribus Capitis Líber", by Hippocrates (460-367 BC) apud Guimarães-Ferreira(Guimarães-Ferreira, Miguéns et al 2004), begins with the sentences: "Human heads are not similar among themselves. Neither are sutures the same in terms of number and location", as an evidence that the variability of cranial sutures and their closures were already observed.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Skull Expansion by Spring-Mediated Bone Regeneration

Dornelles¹,

Cardim²,

Alonso³

2012

Bone Regeneration

View full text Add to dashboard Cite

“…In the Iliad, Homer describes the warrior Thersites as "the ugliest man who came before Troy…his head ran up to a point..," a description characteristic of oxycephaly. 20 The recognition of cranial vault deformities by the ancient physician Galen, and some early understanding of the role of cranial sutures by Hippocrates, have also been reported. 6,55 By the 16th century, it appears that anatomists appreciated the existence of cranial sutures and had documented a broad range of the characteristics of the deformity, from an appreciation of suture pattern and premature suture fusion in a variety of configurations by Hundt,21 specific abnormal varieties of sagittal and coronal sutures by Dryander,13 and what would now be described as oxycephaly and brachycephaly by della Croce 10 and Vesalius 58 (Fig.…”

Section: Early Descriptions Of Cranial Deformitymentioning

confidence: 95%

The evolution of surgical management for craniosynostosis

Mehta¹,

Bettegowda²,

Jallo³

et al. 2010

FOC

View full text Add to dashboard Cite

Craniosynostosis, the premature closure of cranial sutures, has been known to exist for centuries, but modern surgical management has only emerged and evolved over the past 100 years. The success of surgery for this condition has been based on the recognition of scientific principles that dictate brain and cranial growth in early infancy and childhood. The evolution of strip craniectomies and suturectomies to extensive calvarial remodeling and endoscopic suturectomies has been driven by a growing understanding of how a prematurely fused cranial suture can affect the growth and shape of the entire skull. In this review, the authors discuss the early descriptions of craniosynostosis, describe the scientific principles upon which surgical intervention was based, and briefly summarize the eras of surgical management and their evolution to present day.

show abstract

Advances in Craniosynostosis Research and Management

Cited by 24 publications

References 224 publications

Nautilus: craniotomia dinâmica - nova técnica cirúrgica e resultados preliminares

Nautilus: craniotomia dinâmica - nova técnica cirúrgica e resultados preliminares

Skull Expansion by Spring-Mediated Bone Regeneration

The evolution of surgical management for craniosynostosis

Contact Info

Product

Resources

About