Management of isolated and complex craniosynostosis residual deformities: What are the maxillofacial tools?

Joly, Aline; Croisé, B.; Travers, Nadine; Listrat, Antoine; Paré, Arnaud; Laure, B.

doi:10.1016/j.neuchi.2019.09.009

Cited by 3 publications

(4 citation statements)

References 42 publications

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“…The surgical treatment of congenital craniosynostosis combined with secondary asymmetric orbital hypertelorism is highly complex. Due to the young age of pediatric patients, simultaneous correction of both cranial and orbital deformities can lead to longer operative times, significant blood loss, and high surgical risks 10 . Many surgeons, therefore, opt for staged procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the young age of pediatric patients, simultaneous correction of both cranial and orbital deformities can lead to longer operative times, significant blood loss, and high surgical risks. 10 Many surgeons, therefore, opt for staged procedures. Abnormal morphology of craniofacial bone in such patients can be observed in clinical practice, including cranial base asymmetry, abnormally elevated bony ridges on the cranial base, downward displacement of the anterior cranial fossa, and compressed and deformed frontal sinuses.…”

Section: Discussionmentioning

confidence: 99%

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Three-Dimensional Digital Technology: A Powerful Assistant for the Reconstruction of Complex Craniofacial Deformities

Huang,

Chen,

et al. 2023

Journal of Craniofacial Surgery

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Three-dimensional digital technology has been widely applied in craniofacial surgeries, particularly in conventional procedures such as facial contouring and orthognathic surgery. To some extent, the process has already been standardized. As to reconstruction surgeries of complex craniofacial deformity, however, surgical plans need to be patient-specific. Traditionally, individualized surgical treatment largely relies on the surgeon’s clinical experience. The application of digital technology mainly focuses on preoperative planning and postoperative evaluation of surgical outcomes rather than intraoperative patient-specific implants or osteotomy guides. For patients with complex craniofacial deformities, requirements for accurate 3-dimensional digital technology can be much higher. This study presents a favorable surgical reconstruction of the severe craniofacial deformity using 3-dimensional digital technology, providing references for craniofacial surgeons, which could be beneficial to clinical practice and treatment efficacy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Digital Technology: A Powerful Assistant for the Reconstruction of Complex Craniofacial Deformities

Huang,

Chen,

et al. 2023

Journal of Craniofacial Surgery

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“…A surgical intervention at more advanced ages (6 to 12 months of age) has the advantage that the cranial bones are harder to support surgical reconstruction, which allows a lower relapse (Jeong et al, 2017) Many variables come into the decision-making process about the type of surgical intervention for non-syndromic craniosynostosis. They include the age of the patient, the location and degree of the deformity, the general health of the patient and the possible need to repeat the surgery (Joly et al, 2019) In general, approaches such as endoscopic or linear craniectomy, are usually reserved for selected younger patients (less than 6 months of age) with mild deformities that affect only one suture (Balaji, 2017). More invasive approaches (remodeling of open cranial vault with frontoorbital advancement) are generally used in older children (older than 6 months) who have more severe deformities that affect one or more sutures.…”

Section: Lambdoid Synostosismentioning

confidence: 99%

Surgical Management of Complex Craniosynostosis, Case Reports Interdisciplinary Experience

Fábián¹,

Paula²,

Jimenez³

et al. 2020

FMCR

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Craniosynostosis, represents the fusion, ossification and sclerosis of one or more cranial sutures, either of the vault or of the base, which cause different degrees of cerebral compression, intracranial hypertension, cognitive deterioration and visual alterations. They can be accompanied by various types of craniofacial dysmorphism, are usually congenital and most require surgery.Matherials and methods: 7 cases of complex craniosynostosis were chosen from formal random, where interdisciplinary management was proposed between the child neurosurgery and maxillofacial surgery team. In this article and / or manuscript we show the satisatory experience with a positive impact on the aesthetic and functional aspect

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“…Fused sutures cause unusual growth of the skull and increasing intracranial pressure, which leads to cognitive or mental impairment, damaged vision and even death 3 . The abnormal appearance may also cause psychological problems, such as poor self‐esteem and impaired social interactions 4 . Craniosynostosis may occur because of biomechanical, genetic, environmental and hormonal factors 5 .…”

Section: Introductionmentioning

confidence: 99%

A novel p.Pro871Leu missense mutation in SPECC1L gene causing craniosynostosis in a patient

Bai

Geng

Duan

et al. 2021

Orthod Craniofacial Res

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Introduction Craniosynostosis is one of the most common craniofacial abnormalities. It involves premature closure of one or more cranial sutures. Mutations in many genes have been and continue to be identified in patients. Settings and sample population Whole blood samples were collected from the patient and family members. Material and methods Whole exome sequencing was performed to identify potential mutations in the patient. The results were verified by Sanger sequencing by comparing SPECC1L gene sequence of blood samples from 100 unrelated population‐matched controls. Results The patient presented with craniosynostosis with fusion of the bicoronal and sagittal sutures. A novel missense mutation (c.2612C>T, p.Pro871Leu) in the SPECC1L gene was identified. Gene analysis showed a missense mutation in exon1 of SPECC1L that led to an amino acid substitution in the region between coiled‐coil domain 3 and calponin homology domain. Conclusion Our observations expand the molecular spectrum of gene mutations in craniosynostosis and emphasize the importance of gene testing in the diagnosis of craniosynostosis. The observations also reinforce the characteristics of SPECC1L‐related cranial disorders.

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Management of isolated and complex craniosynostosis residual deformities: What are the maxillofacial tools?

Cited by 3 publications

References 42 publications

Three-Dimensional Digital Technology: A Powerful Assistant for the Reconstruction of Complex Craniofacial Deformities

Three-Dimensional Digital Technology: A Powerful Assistant for the Reconstruction of Complex Craniofacial Deformities

Surgical Management of Complex Craniosynostosis, Case Reports Interdisciplinary Experience

A novel p.Pro871Leu missense mutation in SPECC1L gene causing craniosynostosis in a patient

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