Analysis of the Long-Term Outcomes of Nonsyndromic Bicoronal Synostosis

Bastidas, Nicholas; Mackay, Duncan D. J.; Taylor, Jesse A.; Bartlett, Scott P.

doi:10.1097/prs.0b013e318262f2fd

Cited by 20 publications

(10 citation statements)

References 18 publications

(33 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bilateral coronal craniosynostosis occurs when both of the coronal sutures fuse prematurely. Whereas it is commonly seen in patients with syndromic craniosynostosis, it can occur as an isolated finding 13. The premature fusion of both coronal sutures results in brachycephaly, limited anteroposterior skull growth, and compensatory growth in transverse skull width.…”

Section: Non-syndromic Craniosynostosismentioning

confidence: 99%

Multidisciplinary care of craniosynostosis

Buchanan¹,

Xue²,

Xue³

et al. 2017

JMDH

View full text Add to dashboard Cite

The management of craniosynostosis, especially in the setting of craniofacial syndromes, is ideally done in a multidisciplinary clinic with a team focused toward comprehensive care. Craniosynostosis is a congenital disorder of the cranium, caused by the premature fusion of one or more cranial sutures. This fusion results in abnormal cranial growth due to the inability of the involved sutures to accommodate the growing brain. Skull growth occurs only at the patent sutures, resulting in an abnormal head shape. If cranial growth is severely restricted, as seen in multisuture craniosynostosis, elevation in intracranial pressure can occur. Whereas most patients treated in a multidisciplinary craniofacial clinic have non-syndromic or isolated craniosynostosis, the most challenging patients are those with syndromic craniosynostosis. The purpose of this article was to discuss the multidisciplinary team care required to treat both syndromic and non-syndromic craniosynostosis.

show abstract

Section: Non-syndromic Craniosynostosismentioning

confidence: 99%

Multidisciplinary care of craniosynostosis

Buchanan¹,

Xue²,

Xue³

et al. 2017

JMDH

View full text Add to dashboard Cite

show abstract

“…23,24 Patients with nonsyndromic bicoronal craniosynostosis with initial fronto-orbital advancement at Table 3 Plastic and Reconstructive Surgery • May 2016 9.5 months of age underwent a 60 percent revision rate with 14-year follow-up. 25 Secondary surgery introduces additional patient morbidity and augmented risk associated with scarred tissue planes, is technically difficult, and further traumatizes fragile tissue. Generally, syndromic craniosynostosis patients have sufficient brachycephaly, or even turribrachycephaly, that early posterior vault distraction osteogenesis improves their cranial contour through anteroposterior lengthening.…”

Section: Surgical Interventions Performed In Pre-posterior Vault DImentioning

confidence: 99%

An Algorithm for Managing Syndromic Craniosynostosis Using Posterior Vault Distraction Osteogenesis

Swanson

Samra

Bauder

et al. 2016

Plastic &Amp; Reconstructive Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…Relapse in the anteroposterior dimension occurs in approximately two thirds (65%) of patients with unicoronal synostosis at 5 months (Lwin, Richardson, Duncan, & May, 2011), with roughly 20% of patients requiring repeat surgical correction (Selber et al, 2008). Comparatively, rates of relapse warranting bony revision (Whitaker classification III-IV) in sagittal, metopic, and bicoronal synostosis have been reported at 8%, 7%, and 10%, respectively (Bastidas, Mackay, Taylor, & Bartlett, 2012;Bradford et al, 2021;Hennedige, Richardson, Duncan, et al, 2021;Wes et al, 2014;Whitaker, Bartlett, Schut, & Bruce, 1987). With over 20 years of operating on these patients, the senior author has made many modifications to his surgical technique to try to compensate for the relapse observed in patients with unicoronal synostosis.…”

Section: Introductionmentioning

confidence: 99%

Postoperative helmet therapy following fronto‐orbital advancement and cranial vault remodeling in patients with unilateral coronal synostosis

Wolfswinkel

Sanchez‐Lara

Jacob

et al. 2021

American J of Med Genetics Pt A

View full text Add to dashboard Cite

Out of all the synostotic corrective surgeries, fronto-orbital advancement and cranial vault remodeling for patients with unilateral coronal synostosis is one of the hardest to maintain symmetric and proportional correction without some amount of relapse.Over the course of 20 years operating on these patients, the senior author has made multiple adjustments to compensate for relapse asymmetry, including overcorrection on the affected side, increased points of fixation, periosteal release, and scalp expansion with galeal scoring to minimize tension of the closure. As a result of these interventions, we have seen improved immediate results following surgery. However, we have continued to note clinically significant relapse postoperatively. As such, we have started to implement postoperative helmet therapy (PHT) to help maintain the surgical correction, improve secondary brachycephaly, and increase overall symmetry.PHT is a reasonable low-risk complement to fronto-orbital advancement and cranial vault remolding. Clinically, PHT appears to help minimize relapse and improve overall head symmetry. Further investigation and increased patient enrollment are required to determine the true benefits of PHT in this patient population.

show abstract

Analysis of the Long-Term Outcomes of Nonsyndromic Bicoronal Synostosis

Cited by 20 publications

References 18 publications

Multidisciplinary care of craniosynostosis

Multidisciplinary care of craniosynostosis

An Algorithm for Managing Syndromic Craniosynostosis Using Posterior Vault Distraction Osteogenesis

Postoperative helmet therapy following fronto‐orbital advancement and cranial vault remodeling in patients with unilateral coronal synostosis

Contact Info

Product

Resources

About