Surgical Correction of Sagittal Craniosynostosis

Kanev, Paul M.; Lo, Adrian K. M.

doi:10.1097/00001665-199503000-00002

Cited by 45 publications

(34 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The seizure, however, occurred in a patient with established epilepsy and could reasonably not be attributed to the surgery. These results are comparable to those reported for other series of open or endoscopic repair procedures [8, 18, 24]. We did not observe any growing skull fracture – which has been reported with endoscopic craniosynostosis repair presumably from inadvertent dural tear [32].…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Correction of Sagittal Craniosynostosis Using a Novel Parietal Bone Fixation Technique: Results over a 10-Year Period

Sikorski¹,

Iteld

McKinnon

et al. 2006

Pediatr Neurosurg

View full text Add to dashboard Cite

Isolated sagittal synostosis is a common form of craniosynostosis affecting roughly 1 in 5,000 children at birth. This results in a scaphocephalic head shape with a characteristically elongated anterior-posterior dimension and narrowed biparietal diameter. We present our experience with the correction of scaphocephaly due to sagittal synostosis using cranial vault reconstruction with a novel form of parietal bone fixation in 21 patients over 10 years. The medial fixation results in a hinging effect whereby transverse brain growth at the squamoid suture is enhanced. This results in excellent cosmetic results that are immediate and durable without the need for postoperative molding helmets. Furthermore, the complications associated with this procedure are limited.

show abstract

Section: Discussionsupporting

confidence: 90%

“…Larger CVR series in the literature report mean blood losses between 100 and 290 ml with transfusion rates between 80 and 100% [11, 20,22,23,24,25,26]. Our procedure resulted in a mean EBL of 300 ml and a transfusion rate of 86% (corresponding to the upper and lower ranges, respectively, for CVR series in the literature).…”

Section: Discussionmentioning

confidence: 75%

Correction of Sagittal Craniosynostosis Using a Novel Parietal Bone Fixation Technique: Results over a 10-Year Period

Sikorski¹,

Iteld

McKinnon

et al. 2006

Pediatr Neurosurg

View full text Add to dashboard Cite

show abstract

“…The cosmetic results are comparable, and, when feasible, strip craniectomy is generally preferred due to the shorter operating time and less blood loss [3,4] . In children over 6 months of age or in case of severe deformity, strip craniectomy is not sufficient to achieve acceptable results [5] . In these cases, a cranial vault procedure is necessary to correct the scaphocephalic deformity.…”

Section: Introductionmentioning

confidence: 99%

“…This type of surgery carries the risk of profound bleeding from the exposed bone and bony edges [7] . In the literature, a large difference in mean blood loss is reported for the different cranial vault procedures, ranging from 80 to 420 mL [5,[7][8][9][10][11] . The surgical techniques used for skull exposure include subgaleal or subperiosteal dissection techniques.…”

Section: Introductionmentioning

confidence: 99%

“…The surgical techniques used for skull exposure include subgaleal or subperiosteal dissection techniques. Several articles point out that subgaleal dissection is advantageous in order to minimize blood loss when performing cranioplasty [5,7,12] . In this study, we describe reduced blood loss using a surgical technique without any periosteal detachment at the craniotomy lines in pi-plasty surgery for sagittal synostosis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cranioplasty without Periosteal Dissection Reduces Blood Loss in Pi-Plasty Surgery for Sagittal Synostosis

et al. 2017

View full text Add to dashboard Cite

Background/Aims: Cranioplasty is often accompanied by a substantial oozing bleeding from the bone surface and bone edges. Our aim was to measure if strict subgaleal dissection without any periosteal release reduces blood loss during pi-plasty surgery for sagittal synostosis. Method: A group of 32 children who underwent pi-plasty surgery at the Sahlgrenska University Hospital between 2010 and 2014 for premature sagittal synostosis with traditional subgaleal dissection combined with incision and release of the periosteum adjacent to the osteotomy lines was compared to a group of 7 children who underwent pi-plasty with strict subgaleal dissection and osteotomy through the bone with the periosteum attached. Information about blood loss and body weight was extracted from medical records. Results: The blood loss in the group of 7 children with strict subgaleal dissection was 102 ± 86 mL (mean ± SD) (10 ± 7 mL/kg) compared to 320 ± 119 mL (32 ± 12 mL/kg) in the control group with traditional periosteal release (p < 0.001). Conclusion: Intact periosteum at the osteotomy lines significantly reduces blood loss in pi-plasty surgery for sagittal synostosis. The mechanism is likely because of preserved veins between the bone surface and periosteum.

show abstract