Posterior cranial vault distraction osteogenesis in craniosynostosis: estimated increases in intracranial volume

Serlo, Willy; Ylikontiola, Leena P.; Lähdesluoma, Niina; Lappalainen, Olli-Pekka; Korpi, Jarkko; Verkasalo, Jani; Sándor, George K.B.

doi:10.1007/s00381-010-1353-1

Cited by 77 publications

(51 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Steinbacher et al used 2 parasagittal distractors in all 8 of their cases, arguing that it allows greater control of the distraction vector (Steinbacher et al, 2011), and Komuro et al also used 2 distractors for occipital expansion in their series (Komuro et al, 2011). Serlo's group, in contrast, appear to have used 4 distractors in their series (Serlo et al, 2011), as did Nowinski et al in their case report of a child with brachycephaly secondary to SaethreeChotzen syndrome (Nowinski et al, 2011). Other differences between our technique and those reported in other series include our use of the 'hinge technique' to reduce turricephaly and also its use in children as young as 3 months old.…”

Section: Discussionmentioning

confidence: 61%

“…However, we experienced a higher infection rate, with 2 superficial infections, both of which required premature removal of the distractor; however, this shortened consolidation period did not appear to affect the final outcome. Other series have reported lower complication rates e Serlo et al used miniaturised distractor hardware and had no distractor-related complications, and neither did they experience any wound infections (Serlo et al, 2011). Likewise, Komuro's group does not report any complications in their case series of 3 patients (Komuro et al, 2011).…”

Section: Discussionmentioning

confidence: 94%

“…Steinbacher et al treated eight children with syndromic craniosynostoses with posterior distraction and achieved a mean advancement of 23 mm (Steinbacher et al, 2011). Serlo et al successfully applied the technique to ten children (eight of whom had raised ICP), and estimated a mean increase in intracranial volume of 20.2% (Serlo et al, 2011). In contrast to the above four series which all used distractors placed in the sagittal plane, Lao and Denny reported a case series of five children with sagittal synostosis who underwent expansion of the posterior calvarium by placing the distractor transversely, in a technique called asymmetric transverse distraction (Lao and Denny, 2010).…”

Section: Introductionmentioning

confidence: 96%

See 2 more Smart Citations

Posterior calvarial distraction in craniosynostosis – An evolving technique

Wiberg

Magdum

Richards

et al. 2012

Journal of Cranio-Maxillofacial Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Posterior calvarial distraction in craniosynostosis – An evolving technique

Wiberg

Magdum

Richards

et al. 2012

Journal of Cranio-Maxillofacial Surgery

View full text Add to dashboard Cite

“…11,19 Finally, some studies report an improvement and decompression of Chiari malformations after PVDO due to the volume increase of the posterior cranial base. [8][9][10][11][12][13][14][15][16][17][18] Several valid criticisms of PVDO are already in the literature. The ability to reshape the posterior vault in multiple dimensions with PVDO is limited.…”

Section: Discussionmentioning

confidence: 99%

New-Onset Craniosynostosis After Posterior Vault Distraction Osteogenesis

Tahiri¹,

Paliga²,

Bartlett³

et al. 2015

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

The aims of this study were to document the incidence of new-onset craniosynostosis (NOC) after posterior vault distraction osteogenesis (PVDO), to determine risk factors for the development of NOC, and to deduce the cranial ramifications of NOC. An institutional review board-approved retrospective review of all patients who underwent PVDO at the Children's Hospital of Philadelphia was performed. Demographics, perioperative data, as well as preoperative and postoperative three-dimensional computed tomographic scans were analyzed. Suture patency preoperatively and postoperatively was recorded.Thirty patients underwent PVDO for suspected increased intracranial pressure and/or severe turribrachicephaly from 2008 to 2013. Twenty-four patients had syndromic diagnoses. The average age at the time of PVDO was 2.03 years. Distraction distances ranged from 19 to 40 mm, with an average of 28.7 mm. Among the 19 patients who had patent lambdoid sutures before PVDO, new-onset lambdoid fusion was seen in 17 patients after PVDO (89.5%), whereas the suture remained open in 2 patients (10.5%). New-onset lambdoid fusion was not significantly associated with age at distraction (P = 0.28), sex (P = 0.47), length of distraction (P = 0.93), or diagnosis (P = 0.61). Similarly, new-onset sagittal synostosis was not associated with age at distraction (P = 0.06), sex (P = 0.64), length of distraction (P = 0.83), or diagnosis (P = 0.25). None of the patients who developed NOC had characteristic head shape changes such as mastoid bulges or scaphocephaly. New-onset lambdoid and sagittal synostoses occur frequently after PVDO. Although the diagnosis of NOC is obvious radiographically, the clinical importance of the diagnosis morphometrically, neurodevelopmentally, and in cranial growth has yet to be fully investigated.

show abstract

“…The mean age of the children who underwent surgery was 19.4 ± 23.0 months, which is earlier than the 30 ± 25 months of Selo et al 24 and the 59 months of Nonaka et al 19 However, it is similar to the 14. 1 It is later than the 6 months of the national study conducted by Nguyen et al 17 in the US.…”

Section: Results Of the Tsdo Operative Technique In 285 Children Withmentioning

confidence: 60%

Transsutural distraction osteogenesis for 285 children with craniosynostosis: a single-institution experience

Park

Yoon

2016

PED

View full text Add to dashboard Cite

OBJECT Although distraction osteogenesis (DO) requires a secondary procedure in the surgical correction of craniosynostosis, it is relatively simple, requires less transfusion, results in a shorter intensive care unit stay, and is quite safe. Because of these positive factors, various DO techniques have been developed. However, there is disagreement regarding the superiority of DO. The authors reported on a new DO technique, transsutural DO (TSDO), 6 years ago that was performed in 23 patients over a period of 6 months, and it continues to be used at the present time. In this paper the authors report the results of TSDO performed in 285 patients with craniosynostosis over a period of 6 years at a single institution. METHODS TSDO consists of a simple suturectomy of the pathological suture followed by direct distraction of the suturectomy site only. Types of TSDO conducted included sagittal TSDO in 95 patients, bicoronal in 14, unilateral coronal in 57, lambdoid in 26, metopic in 13, multiple in 19, syndromic in 33, and secondary in 28. The mean age (± SD) of the patients was 19.4 ± 23.0 months, and mean follow-up was 39.5 ± 21.0 months. RESULTS The mean operating time was 115 ± 43 minutes, and mean anesthesia time was 218 ± 56 minutes. The mean transfusion volume of red blood cell components was 48 ± 58 ml, and mean transfusion volume of fresh-frozen plasma was 19 ± 35 ml. Total transfusion volume was significantly less in infants younger than 12 months of age and in children with lower lumbar puncture pressures (p < 0.05). Complications included 1 (0.4%) death from postoperative acute pneumonia after a distractor removal operation and 23 (8%) surgical morbidities comprising 10 revisions (3.5%) and 13 early removals of distracters (4.6%). CONCLUSIONS TSDO is a simple, effective, and safe method to use for treating all types of craniosynostosis. Some morbidity was experienced in this study, but it may be attributed to the learning curve of the technique.

show abstract

Posterior cranial vault distraction osteogenesis in craniosynostosis: estimated increases in intracranial volume

Abstract: This preliminary series shows that cranial bone distraction is a useful method for cranial expansion with low morbidity in children with craniosynostosis.

Cited by 77 publications

References 13 publications

Posterior calvarial distraction in craniosynostosis – An evolving technique

Posterior calvarial distraction in craniosynostosis – An evolving technique

New-Onset Craniosynostosis After Posterior Vault Distraction Osteogenesis

Transsutural distraction osteogenesis for 285 children with craniosynostosis: a single-institution experience

Contact Info

Product

Resources

About