Intraoperative tissue expansion in the surgical correction of craniosynostosis

Doshier, Laura J; Fowler, Daniel H.; McEwan, Thomas W.; Baker, Champ L.; Muzaffar, Arshad R.

doi:10.4172/plastic-surgery.1000906

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…32-34 Any operation that tries to achieve more of an expansion in one setting risks wound healing issues with surgical dehiscence and wound breakdown. 35,36 Theoretically speaking, given that these patients are typically older than 2 years of age, the amount of brain and head growth that they will undergo until they are an adult is also no more than 10–20%. 37,38 It is practically impossible to estimate how much cranial expansion is absolutely required to correct elevated ICP in any given patient.…”

Section: Discussionmentioning

confidence: 99%

Elevated Intracranial Pressure After Primary Surgical Correction of Sagittal Suture Craniosynostosis

Dibbs

Ferry

Davies

et al. 2022

Craniomaxillofacial Trauma & Reconstruction

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Study Design: A Case Report. Objective: Craniosynostosis is a craniofacial condition defined by premature fusion of at least one cranial suture. Resynostosis or secondary craniosynostosis of a previously patent adjacent suture following primary repair is a relatively common complication. While studies have assessed the rates of secondary craniosynostosis and subsequent reoperation, extremely limited data regarding reoperation techniques is available. Methods: We present a unique case of a pediatric patient with sagittal craniosynostosis who previously underwent a modified pi procedure and later developed resynostosis of the sagittal suture and secondary synostosis of the bicoronal sutures. We subsequently performed total cranial vault reconstruction with virtual surgical planning (VSP). Results: At his 31-month postoperative follow-up, he displayed normal head shape and denied any clinical signs of elevated intracranial pressures with a normal ophthalmological exam. Conclusions: The reoperation was successful with no significant postoperative complications noted. Performing geometric expansion with VSP to manage fusion of a previously open suture following primary treatment of sagittal synostosis should be considered within the armamentarium of operative options.

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Section: Discussionmentioning

confidence: 99%

Elevated Intracranial Pressure After Primary Surgical Correction of Sagittal Suture Craniosynostosis

Dibbs

Ferry

Davies

et al. 2022

Craniomaxillofacial Trauma & Reconstruction

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“…RITE is a modified strategy for tissue expansion that occurs via mechanical creep [10]. Short periods of expansion forces rearrange the collagen fibers into a parallel pattern and also induce elastic fiber micro-fragmentation [2].…”

Section: Discussionmentioning

confidence: 99%

“…Many authors used foley catheter or silicone expander for intraopeartive tissue expansion which is soft but harder than latex [1,10,11]. Soft material results in multidirectional expansion while rigid type expands unidirectionally [7].…”

Section: Discussionmentioning

confidence: 99%

Rapid Intraoperative Tissue Expansion with Latex Glove after Large Nevus Excision for a Pediatric Patient: A Case Report

Koh

Jung

et al. 2018

J Wound Management Res

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Conventional concept of tissue expansion includes expander insertion, expander removal with wound coverage and intermittent expander inflations. Tissue expansion has been used in the various reconstruction area but high complication rates had been reported in the pediatric population. It may attribute to the inexperience of the medical team, poor education, improper follow-up and low compliance. Rapid intra-operative tissue expansion is a modified concept which utilizes the immediate expandability of the skin. Expansion forces are applied solely in the operative field and for only a short period of time. Ample volume of expansion has been reported in literature. We present the case of a 31-monthold female child with a giant nevus on the left upper arm. The nevus was excised and closed using a simple fabricated tissue expander. Expansion forces were applied only 25 minutes (15 minutes and 10 minutes with 5 minutes of intermittent break time) and the tissue was extended enough for tension free closure. The wound healed well without the complications like hematoma, seroma, wound dehiscence or necrosis.

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Intraoperative tissue expansion in the surgical correction of craniosynostosis

Cited by 2 publications

References 14 publications

Elevated Intracranial Pressure After Primary Surgical Correction of Sagittal Suture Craniosynostosis

Elevated Intracranial Pressure After Primary Surgical Correction of Sagittal Suture Craniosynostosis

Rapid Intraoperative Tissue Expansion with Latex Glove after Large Nevus Excision for a Pediatric Patient: A Case Report

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