Craniosynostosis

Abstract

Differing types of fixation, diagnosis of syndrome, and multiple-suture craniosynostosis were statistically correlated to increased reoperative rates. Age at initial operation and sex were not correlated to increased reoperative rates. Finally, this institution's complication and reoperative rates compare with other published results.

The Trans-Sutural Distraction Osteogenesis for 22 Cases of Craniosynostosis: A New, Easy, Safe, and Efficient Method in Craniosynostosis Surgery

“…In later years, surgery consisted of various methods of craniotomy and remodeling that are still the most frequently applied technique [10,24,25,26]. Distraction osteogenesis was introduced in the mid- to late-1990s, and appeared to offer advantages in that: bone fusion is more effectively accomplished, the operation time is shortened, and transfusion volume is decreased [2,3,4,7,9,11,12].…”

“…The mean operation times for classical craniotomy/remodeling and distraction osteogenesis have been reported to range from 150 to 441 and from 183 to 336 min, respectively, and the mean volume of transfused blood ranged from 100 to 426 and 178 to 350 ml, respectively, indicating a high risk for children undergoing classical craniotomy and remodeling [3,4,6,9,11,12]. Although there are few reports to date which have described repeat surgery after distraction osteogenesis, it has been indicated that repeat surgery occurs in 6.7–40% of patients who received classical craniotomy and remodeling, and therefore a new and effective surgical method is necessary [10,13,14,15,16]. …”

“…Despite disadvantages, such as the necessity of a secondary procedure, distraction osteogenesis has several advantages: the operation is simple, the operation time is short, the bleeding and transfusions are less, there is decreased incidence of infections, epidural dead space formation is avoided, and the tension of the skin and subcutaneous soft tissues is decreased [3,4,5,6,7,8]. However, all procedures to date have still been complicated, taken a long period of time, and shown a marked loss of blood (and hence increased volume of transfusions), and a greater overall risk in infants and young children [1,9,10]. The mean operation times for classical craniotomy/remodeling and distraction osteogenesis have been reported to range from 150 to 441 and from 183 to 336 min, respectively, and the mean volume of transfused blood ranged from 100 to 426 and 178 to 350 ml, respectively, indicating a high risk for children undergoing classical craniotomy and remodeling [3,4,6,9,11,12].…”

Development and testing of an absorbable spring for cranial expansion in rabbits

“…The main goals of craniosynostosis treatment are to expand the intracranial volume, to protect the eyes, to restore upper airway patency, and to improve cosmesis (Pearson et al, 2008;Scott et al, 2009). …”

Craniofacial Distraction in the Management of Anterior Plagiocephaly: A Novel Idea and a Systematic Review of the Literature

“…The primary goals for surgical correction are to expand the intracranial volume, thereby allowing for unimpeded cerebral growth whilst improving the aesthetic appearance of the child [2]. DO in synostotic plagiocephaly offers the advantages of a decreased perioperative morbidity, less soft tissue envelope restriction of expansion, and the correction of cranial base angulation [3].…”