Premature closure of the cranial sutures

Simmons, Donald R.; Peyton, William T.

doi:10.1016/s0022-3476(47)80142-8

Cited by 67 publications

(9 citation statements)

References 25 publications

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“…10. II], either alone or in combination with other stripping procedures, have been advocate [5], Other forms of vertex craniectomy, circular craniectomy [13], and morcellation proce dures [6], have been described, but as the earlier procedures did not extend across adjacent sutures, the cosmetic resutls were unsatisfactory.…”

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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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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“…In the few papers dealing with sagittal closure we note; " basal kypho sis" ); " sphenoidal m alform ation" (Ogilvie and Posel [1927]), " platybasia and increase of basilar angle" (Simmons and Peyton [1947]). …”

Section: Poil-cc Followupmentioning

confidence: 99%

The Pathogenesis of Premature Cranial Synostosis in Man

Moss¹

1959

Cells Tissues Organs

325

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“…3,5,[9][10][11][12]15,17,[20][21][22][23][26][27][28][29][30][31][33][34][35][36]38,40,[43][44][45][46][47][48][49][50][51] The field continues to evolve and aims to reduce the impact of surgery. Minimally invasive approaches constitute the majority of recently detailed techniques.…”

mentioning

confidence: 99%

Frontobiparietal remodeling with or without a widening bridge for sagittal synostosis: comparison of 2 cohorts for aesthetic and functional outcome

Veelen¹,

Mihajlović²,

Dammers³

et al. 2015

PED

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OBJECT Various techniques to correct sagittal synostosis have been described. The authors of this study assess the results of 2 techniques for late complete cranial remodeling and test the hypothesis that adding a widening bridge would improve outcome. METHODS In this retrospective study, the authors evaluated patients with nonsyndromic sagittal synostosis—those who underwent frontobiparietal remodeling (FBR) and those who underwent modified FBR (MFBR) involving the introduction of a bony bridge to increase the width of the skull. Outcomes for both groups are described in terms of the aesthetic results assessed on photographs and any changes in the cranial index (CI) and head circumference over time, the presence of papilledema, and complaints of headache. The effect of the surgical technique on CI and head circumference over time was assessed using linear regression analysis, with adjustment for preoperative CI and head circumference. RESULTS Sixty-nine patients with isolated sagittal synostosis were included in this study: 35 underwent MFBR and 34 underwent the original technique of FBR. The mean follow-up period was 7 years. In the 1st year after surgery, mean CI improved by 9% in the FBR group and by 12% in the MFBR group. One year after surgery, CI in the MFBR group was on average 4.7% higher than that in the FBR group (p < 0.001). During follow-up, CI decreased in both groups; however, at all time points CI was significantly higher in the MFBR group than in the FBR group. The impact of surgical technique on CI was less important than the impact of preoperative CI (R2= 0.26 vs 0.54), and this applied at all time points during follow-up. Head circumference declined during follow-up in both groups. It was influenced by preoperative head circumference, but not by surgical technique. Aesthetic outcome, prevalence of headache (42%), and papilledema (7%) were comparable in both groups. CONCLUSIONS Adding a widening bridge to late complete remodeling significantly improved CI and helped to prevent CI from decreasing in the long term. This addition did not affect the head circumference growth curve. Despite a mean head circumference remaining at +1 SD, patients continued to develop papilledema postoperatively (7%).

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Premature closure of the cranial sutures

Cited by 67 publications

References 25 publications

Total Vertex Craniectomy for the Treatment of Scaphocephaly

Total Vertex Craniectomy for the Treatment of Scaphocephaly

The Pathogenesis of Premature Cranial Synostosis in Man

Frontobiparietal remodeling with or without a widening bridge for sagittal synostosis: comparison of 2 cohorts for aesthetic and functional outcome

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