Spring-Assisted Surgery-A Surgeon's Manual for the Manufacture and Utilization of Springs in Craniofacial Surgery

Pyle, Jeremy W.; Glazier, Steven S.; Couture, Daniel E.; Sanger, Claire; Gordon, Stan; David, Lisa R.

doi:10.1097/scs.0b013e3181bd2cb2

Cited by 29 publications

(18 citation statements)

References 19 publications

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“…Postoperative helmet therapy, springassisted cranioplasty, or cranial distraction must be used to maintain patency of the released suture and to guide subsequent growth. [2][3][4]18,26 These strategies have been applied to the other cranial sutures with success, and a limited number of experiences with nonsyndromic multisuture synostosis cases have been reported.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of endoscopic suturectomy with postoperative helmet therapy in bilateral coronal craniosynostosis

Rottgers

Lohani

Proctor

2016

PED

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OBJECTIVE Historically, bilateral frontoorbital advancement (FOA) has been the keystone for treatment of turribrachycephaly caused by bilateral coronal synostosis. Early endoscopic suturectomy has become a popular technique for treatment of single-suture synostosis, with acceptable results and minimal perioperative morbidity. Boston Children's Hospital has adopted this method of treating early-presenting cases of bilateral coronal synostosis. METHODS A retrospective review of patients with bilateral coronal craniosynostosis who were treated with endoscopic suturectomy between 2005 and 2012 was completed. Patients were operated on between 1 and 4 months of age. Hospital records were reviewed for perioperative morbidity, length of stay, head circumference and cephalic indices, and the need for further surgery. RESULTS Eighteen patients were identified, 8 males and 10 females, with a mean age at surgery of 2.6 months (range 1–4 months). Nine patients had syndromic craniosynostosis. The mean duration of surgery was 73.3 minutes (range 50–93 minutes). The mean blood loss was 40 ml (range 20–100 ml), and 2 patients needed a blood transfusion. The mean duration of hospital stay was 1.2 days (range 1–2 days). There was 1 major complication in the form of a CSF leak. The mean follow-up was 37 months (range 6–102 months). Eleven percent of nonsyndromic patients required a subsequent FOA; 55.6% of syndromic patients underwent FOA. The head circumference percentiles and cephalic indices improved significantly. CONCLUSIONS Early endoscopic suturectomy successfully treats the majority of patients with bilateral coronal synostosis, and affords a short procedure time, a brief hospital stay, and an expedited recovery. Close follow-up is needed to detect patients who will require a secondary FOA due to progressive suture fusion or resynostosis of the released coronal sutures.

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Section: Discussionmentioning

confidence: 99%

“…[2][3][4]18,26 These procedures are less invasive than traditional open cranioplasty and allow safe interventions at an early age. While widely used in cases of single-suture craniosynostosis, only sporadic reports exist of this technique's use in cases of multisuture synostosis.…”

mentioning

confidence: 99%

Outcomes of endoscopic suturectomy with postoperative helmet therapy in bilateral coronal craniosynostosis

Rottgers

Lohani

Proctor

2016

PED

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“…The omega-shaped springs are applied across a strip craniectomy and need to be removed 4-6 months later in a second surgical intervention requiring a second anesthetic. [14] The advantage for institutions using springs is that the age limit can be increased because the skull growth is driven by the device.…”

Section: Springs In Craniofacial Surgerymentioning

confidence: 99%

Surgical treatment of craniosynostosis in infants

Erb

Meier

2016

Current Opinion in Anaesthesiology

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Neuroendoscopic techniques, designed to minimize surgical incision, dissection, and blood loss, are becoming efficacious and valuable alternative therapeutic options reducing the need for fluid replacement and invasive hemodynamic monitoring. Since hemorrhage represents the most important complication in open craniosynostosis repair, prevention strategies such as the use of tranexamic acid should be considered. Sufficient correction of entailed coagulopathies is crucial.

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“…The indication, number and force of springs, as well as their implantation site are determined. (Pyle, Glazier et al 2009) 3. Material and method…”

Section: Expansible Springsmentioning

confidence: 99%

Skull Expansion by Spring-Mediated Bone Regeneration

Dornelles¹,

Cardim²,

Alonso³

2012

Bone Regeneration

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Spring-Assisted Surgery-A Surgeon's Manual for the Manufacture and Utilization of Springs in Craniofacial Surgery

Abstract: Long-term experience with spring-assisted surgery has facilitated the development of standardized, reproducible techniques allowing spring design modifications to optimize clinical outcome.

Cited by 29 publications

References 19 publications

Outcomes of endoscopic suturectomy with postoperative helmet therapy in bilateral coronal craniosynostosis

Outcomes of endoscopic suturectomy with postoperative helmet therapy in bilateral coronal craniosynostosis

Surgical treatment of craniosynostosis in infants

Skull Expansion by Spring-Mediated Bone Regeneration

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