Craniosynostosis

Werf, A.J.M. van der

doi:10.1016/s0303-8467(78)80063-8

Cited by 11 publications

(6 citation statements)

References 4 publications

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“…Despite multiple modifications, it remains the treatment of choice for many surgeons [2,4,9,12,15]. Additionally, uni-or bilateral subtemporal decompressions [5.…”

Section: Discussionmentioning

confidence: 99%

“…Midline sagittal craniectomy, bilateral parasagittal strip craniectomy [4.5,12], 'modified' vertex craniectomy [ 15], subtemporal craniectomy [5,14], and even total craniectomy [1,3,13] have all been utilized in the treat ment of scaphocephaly. Recent surgical trends have favored more radical bony removal to prevent early refusion of sutures.…”

Section: Introductionmentioning

confidence: 99%

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Total Vertex Craniectomy for the Treatment of Scaphocephaly

Epstein

Newman

1982

Pediatr Neurosurg

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“…Despite multiple modifications, it remains the treatment of choice for many surgeons [2,4,9,12,15]. Additionally, uni-or bilateral subtemporal decompressions [5.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Total Vertex Craniectomy for the Treatment of Scaphocephaly

Epstein

Newman

1982

Pediatr Neurosurg

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“…Thus, different techniques have been developed to prevent too rapid fusion of the osteotomy site. 3,5 Foreign material interposition, such as polyethylene or silicone, has been used to prevent too rapid re-ossification of the osteotomy site after surgery for craniosynostosis. 5 To avoid the use of foreign material and to minimize the associated risk of infection, van der Werf 5,6 described his technique in the 1970s.…”

mentioning

confidence: 99%

“…3,5 Foreign material interposition, such as polyethylene or silicone, has been used to prevent too rapid re-ossification of the osteotomy site after surgery for craniosynostosis. 5 To avoid the use of foreign material and to minimize the associated risk of infection, van der Werf 5,6 described his technique in the 1970s. He suggested splitting the outer layer of the dura from the inner layer, turning it over the edge of the bone at the osteotomy site, and suturing it to the periosteum.…”

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confidence: 99%

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The Dura Split Technique in the Treatment of Craniosynostosis: Is It Still an Option?

Ripatti

Blair

Serlo

2022

Journal of Craniofacial Surgery

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Background: The aim of this study was to report the outcome and the complications for patients operated on for craniosynostosis using the dura split technique. Specifically, the authors aimed to evaluate the safety of this technique, which is currently not in use, and to determine whether it is still useable. Methods: The data was collected from the hospital patient records of all children surgically treated for craniosynostosis using the dura split technique in Turku University Hospital during the period 1975 to 2015. The data was analyzed to determine the clinical and radiological outcomes of the surgical procedure, the need for reoperations, and the rate of complications. Results: During the study period, the dura split technique was used in the surgery of 65 patients. The outcome was either good or acceptable in most patients and reoperation was needed in only 2 patients (3.1%). Surgical complications included significant blood loss (26.2%), lesions on the inner layer of the dura (21.5%), leakage of cerebrospinal fluid (13.8%), and persistent bone defects (15.4% on palpation and 63.1% radiologically). Conclusions: Although the outcome of surgery for craniosynostosis using the dura split technique was mostly acceptable and the need for reoperations rare, the technique cannot, however, be recommended in the future due to high rates of bone defects, frequent problems with lesions on the inner layer of the dura, and consequent perioperative leakage of cerebrospinal fluid.

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The use of autologous free fat tissue in prevention of calvarial bone regeneration: an experimental study

et al. 1995

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European "~1 ,,~0x °a'o' i _lflStlC bu¢ ery Abstract. Autologous free fat grafts have been successfully used to limit ingrowth of postlaminectomy fibrous tissue and to prevent reossification after bone resection in long bones. This study was designed to test the effect of placing autologous adipose tissue in standardized craniotomy defects and also to determine the effect of the presence of periosteum and dura in the area of the fat augmented defects. In 18 immature rabbits, aged 18-21 days, two identical full-thickness defects were made bilaterally in the parietal bone. An autologous free fat graft was placed in one of the defects, the second being an internal control. The study groups were as follows: Group I: dura and periosteum left intact; Group II; periosteum removed; dura left intact; Group III; periosteum and dura removed. The animals were sacrificed after ten weeks.Histological examination of all groups demonstrated prevention of bone regeneration at the margins of the defect with some variations. In the first and second groups, new bone formation appeared over the dura, creating an incomplete plate of bone. On the periosteal side of the graft, a smaller amount of bone formation appeared close to the osteotomy line. The third group demonstrated a total prevention of bone regeneration. The use of free fat tissue graft can prevent calvarial bone regeneration and may be a useful adjunct for the treatment of craniosynostosis. Measures should be taken regarding the new bone formation over the dura, since this may cause reoccurrence of craniosynostosis.

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Craniosynostosis

Cited by 11 publications

References 4 publications

Total Vertex Craniectomy for the Treatment of Scaphocephaly

Total Vertex Craniectomy for the Treatment of Scaphocephaly

The Dura Split Technique in the Treatment of Craniosynostosis: Is It Still an Option?

The use of autologous free fat tissue in prevention of calvarial bone regeneration: an experimental study

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