Combined Dynamic Osteotomies for Craniosynostosis
Background:. In primary craniosynostosis, the premature fusion of one or more sutures prevents the perpendicular expansion of brain tissue (primary defect). Providing space for the brain to expand, the compensatory growth of unaffected sutures causes progressive skull deformation (secondary defect)....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-08-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005208 |
| _version_ | 1827855970063089664 |
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| author | Vera Lúcia N. Cardim, MD, PhD Geórgia M.C. Peres, MD Alessandra dos S. Silva, MD |
| author_facet | Vera Lúcia N. Cardim, MD, PhD Geórgia M.C. Peres, MD Alessandra dos S. Silva, MD |
| author_sort | Vera Lúcia N. Cardim, MD, PhD |
| collection | DOAJ |
| description | Background:. In primary craniosynostosis, the premature fusion of one or more sutures prevents the perpendicular expansion of brain tissue (primary defect). Providing space for the brain to expand, the compensatory growth of unaffected sutures causes progressive skull deformation (secondary defect). Understanding the need to treat the osteogenic matrix responsible for the cranial vault’s shape was essential to develop a novel surgical concept known as dynamic osteotomy. It uses springs to activate stenotic sutures and trigger dura-mater distension while flexibilizing compensatory osseous defects via helicoid osteotomy (nautilus technique), allowing for efficient bone expansion and remodeling in craniosynostosis.
Method:. This case series describes patients with craniosynostosis treated with dynamic osteotomy utilizing structural transformation inductors such as springs and helicoid osteotomy (nautilus technique), operated on between July 2004 and January 2020 at a single center in Brazil.
Result:. Dynamic osteotomy longitudinally achieved stable osseous remodeling during growth period while maintaining good vitality and continuity of the osteotomized cranial vault.
Conclusion:. Dynamic osteotomy utilizing springs and nautilus technique, alone or in combination, is a successful treatment of craniosynostosis regardless of patient’s age. |
| first_indexed | 2024-03-12T12:18:54Z |
| format | Article |
| id | doaj.art-96ef7b68442d4260920cd106b17be1b6 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-12T12:18:54Z |
| publishDate | 2023-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-96ef7b68442d4260920cd106b17be1b62023-08-30T06:13:51ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-08-01118e520810.1097/GOX.0000000000005208202308000-00043Combined Dynamic Osteotomies for CraniosynostosisVera Lúcia N. Cardim, MD, PhD0Geórgia M.C. Peres, MD1Alessandra dos S. Silva, MD2From the Hospital Beneficência Portuguesa de São Paulo, Sâo Paulo, Brazil.From the Hospital Beneficência Portuguesa de São Paulo, Sâo Paulo, Brazil.From the Hospital Beneficência Portuguesa de São Paulo, Sâo Paulo, Brazil.Background:. In primary craniosynostosis, the premature fusion of one or more sutures prevents the perpendicular expansion of brain tissue (primary defect). Providing space for the brain to expand, the compensatory growth of unaffected sutures causes progressive skull deformation (secondary defect). Understanding the need to treat the osteogenic matrix responsible for the cranial vault’s shape was essential to develop a novel surgical concept known as dynamic osteotomy. It uses springs to activate stenotic sutures and trigger dura-mater distension while flexibilizing compensatory osseous defects via helicoid osteotomy (nautilus technique), allowing for efficient bone expansion and remodeling in craniosynostosis. Method:. This case series describes patients with craniosynostosis treated with dynamic osteotomy utilizing structural transformation inductors such as springs and helicoid osteotomy (nautilus technique), operated on between July 2004 and January 2020 at a single center in Brazil. Result:. Dynamic osteotomy longitudinally achieved stable osseous remodeling during growth period while maintaining good vitality and continuity of the osteotomized cranial vault. Conclusion:. Dynamic osteotomy utilizing springs and nautilus technique, alone or in combination, is a successful treatment of craniosynostosis regardless of patient’s age.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005208 |
| spellingShingle | Vera Lúcia N. Cardim, MD, PhD Geórgia M.C. Peres, MD Alessandra dos S. Silva, MD Combined Dynamic Osteotomies for Craniosynostosis Plastic and Reconstructive Surgery, Global Open |
| title | Combined Dynamic Osteotomies for Craniosynostosis |
| title_full | Combined Dynamic Osteotomies for Craniosynostosis |
| title_fullStr | Combined Dynamic Osteotomies for Craniosynostosis |
| title_full_unstemmed | Combined Dynamic Osteotomies for Craniosynostosis |
| title_short | Combined Dynamic Osteotomies for Craniosynostosis |
| title_sort | combined dynamic osteotomies for craniosynostosis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005208 |
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