Elevated Intracranial Pressure After Primary Surgical Correction of Sagittal Suture Craniosynostosis.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Craniomaxillofacial Trauma & Reconstruction Pub Date : 2023-03-01 Epub Date: 2022-03-11 DOI:10.1177/19433875211064680
Rami P Dibbs, Andrew M Ferry, Lesley Davies, David F Bauer, Edward P Buchanan, Han Zhuang Beh
{"title":"Elevated Intracranial Pressure After Primary Surgical Correction of Sagittal Suture Craniosynostosis.","authors":"Rami P Dibbs, Andrew M Ferry, Lesley Davies, David F Bauer, Edward P Buchanan, Han Zhuang Beh","doi":"10.1177/19433875211064680","DOIUrl":null,"url":null,"abstract":"<p><p><b>Study Design</b>: A Case Report. <b>Objective</b>: Craniosynostosis is a craniofacial condition defined by premature fusion of at least one cranial suture. Resynostosis or secondary craniosynostosis of a previously patent adjacent suture following primary repair is a relatively common complication. While studies have assessed the rates of secondary craniosynostosis and subsequent reoperation, extremely limited data regarding reoperation techniques is available. <b>Methods</b>: We present a unique case of a pediatric patient with sagittal craniosynostosis who previously underwent a modified pi procedure and later developed resynostosis of the sagittal suture and secondary synostosis of the bicoronal sutures. We subsequently performed total cranial vault reconstruction with virtual surgical planning (VSP). <b>Results</b>: At his 31-month postoperative follow-up, he displayed normal head shape and denied any clinical signs of elevated intracranial pressures with a normal ophthalmological exam. <b>Conclusions</b>: The reoperation was successful with no significant postoperative complications noted. Performing geometric expansion with VSP to manage fusion of a previously open suture following primary treatment of sagittal synostosis should be considered within the armamentarium of operative options.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9941297/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Craniomaxillofacial Trauma & Reconstruction","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/19433875211064680","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/3/11 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Study Design: A Case Report. Objective: Craniosynostosis is a craniofacial condition defined by premature fusion of at least one cranial suture. Resynostosis or secondary craniosynostosis of a previously patent adjacent suture following primary repair is a relatively common complication. While studies have assessed the rates of secondary craniosynostosis and subsequent reoperation, extremely limited data regarding reoperation techniques is available. Methods: We present a unique case of a pediatric patient with sagittal craniosynostosis who previously underwent a modified pi procedure and later developed resynostosis of the sagittal suture and secondary synostosis of the bicoronal sutures. We subsequently performed total cranial vault reconstruction with virtual surgical planning (VSP). Results: At his 31-month postoperative follow-up, he displayed normal head shape and denied any clinical signs of elevated intracranial pressures with a normal ophthalmological exam. Conclusions: The reoperation was successful with no significant postoperative complications noted. Performing geometric expansion with VSP to manage fusion of a previously open suture following primary treatment of sagittal synostosis should be considered within the armamentarium of operative options.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
矢状缝颅骨发育不良初级手术矫正术后颅内压升高。
研究设计:病例报告。研究目的颅合畸形是一种颅面疾病,定义为至少一条颅缝过早融合。原发性修复后,先前通畅的邻近缝线再融合或继发性颅骨融合是一种相对常见的并发症。虽然有研究评估了继发性颅骨合骨病和后续再次手术的发生率,但有关再次手术技术的数据却极为有限。方法:我们介绍了一例独特的矢状颅颅骨畸形儿科患者的病例,该患者曾接受过改良π手术,后来出现了矢状缝再挛缩和双顶缝继发性颅骨挛缩。随后,我们通过虚拟手术规划(VSP)进行了全颅穹隆重建。手术结果在术后31个月的随访中,他的头型正常,没有任何颅内压升高的临床表现,眼科检查正常。结论:再次手术非常成功:再次手术非常成功,术后未发现明显并发症。在对矢状突合进行初次治疗后,应考虑使用 VSP 进行几何扩张,以处理先前开放缝合的融合问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
自引率
0.00%
发文量
39
期刊最新文献
Anatomical Landmarks and Branching Patterns of the Greater Auricular Nerve. Revision Surgery With Refixation After Mandibular Fractures. A Single Center Experience: A Retrospective Study Over 10-Years Period on Mandible Fractures. Comparing Current Practice Habits for Treatment of Subcondylar Fracture Among Craniomaxillofacial Surgeons. Patterns of Midface and Mandible Fractures in a Government Hospital.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1