Bilateral peninsula-shaped linear craniectomy for mild degrees of craniosynostosis: indication, technique and long-term results
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, cilt.32, sa.2, ss.64-70, 2004 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 2
- Basım Tarihi: 2004
- Doi Numarası: 10.1016/j.jcms.2003.09.006
- Dergi Adı: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.64-70
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Objective: The goals of surgery in craniosynostosis are to reduce increased intracranial pressure and to achieve a good aesthetic result with minimal mortality and morbidity. A new type of strip craniectomy according to these principles is presented. Patients: The technique was applied to seven cases of oxycephaly and three cases of scaphocephaly under 5 years of age. None of them had major cranial base involvement, facial deformity or marked psychomotor retardation. There was no syndromic case of craniosynostosis included in this group. Methods: A curvilinear parasagittal craniectomy was combined with coronal and lambdoid craniectomies bilaterally. These craniectomies were curved postero- and antero-inferiorly, respectively, in order to create bilateral 'peninsula-shaped' parieto-temporal bones with their neck still attached to the temporal bone. A linear craniectomy, crossing the superior sagittal sinus and combining right and left curvilinear craniectomies was added. Results: The operative time varied between 45 min and 1 h, without any complications. Correction of the skull shape was successful in all cases. Conclusion: This technique is simple and effective. But, it is only applicable to a minority of craniosynostoses. Patient selection is the key to better results. (c) 2003 European Association for Cranio-Maxillofacial Surgery.