Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosis
Background and objective: Craniosynostosis is the premature closure of one or more of the cranial sutures, which leads to skull deformities and other complications. Non-syndromic craniosynostosis (NSCS) usually involves only one cranial suture. Unicoronal (UCS) and metopic craniosynostosis (MS) are...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751923000403 |
| _version_ | 1797867415956094976 |
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| author | Ali Riazi Bahram Aminmansoor Ata Mahdkhah |
| author_facet | Ali Riazi Bahram Aminmansoor Ata Mahdkhah |
| author_sort | Ali Riazi |
| collection | DOAJ |
| description | Background and objective: Craniosynostosis is the premature closure of one or more of the cranial sutures, which leads to skull deformities and other complications. Non-syndromic craniosynostosis (NSCS) usually involves only one cranial suture. Unicoronal (UCS) and metopic craniosynostosis (MS) are two common types of NSCS. Correction of fronto-orbital deformity is the main aim of surgical intervention in patients of UCS and MS. In this article, we express our novel technique of bone increment to use a bone graft for reshaping of the orbital rim deformity in patients diagnosed with UCS and MS. Methods: 20 patients (10 UCS and 10 MS) were treated surgically at our institute, between 2020 and 2022. The degree of the needed fronto-orbital advancement was determined preoperatively using full history, preoperative examination, three-dimensional (3D) computed tomography (CT) and longitudinal orbital projection. Results: The mean hospital stay, operative time, anesthetic duration, intraoperative blood loss and transfusion showed significantly lower results than the literature. Conclusion: The bone increment technique for fronto-orbital reshaping of patients diagnosed with UCS and MS, is an innovative and efficient reconstructive technique and may provide a valuable and alternative technique and addition in selected cases in craniofacial surgery. |
| first_indexed | 2024-04-09T23:39:50Z |
| format | Article |
| id | doaj.art-d24f857584d943c8b6d1a0cc684dec86 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-09T23:39:50Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-d24f857584d943c8b6d1a0cc684dec862023-03-19T04:37:59ZengElsevierInterdisciplinary Neurosurgery2214-75192023-06-0132101757Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosisAli Riazi0Bahram Aminmansoor1Ata Mahdkhah2Department of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, IranCorresponding author.; Department of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, IranBackground and objective: Craniosynostosis is the premature closure of one or more of the cranial sutures, which leads to skull deformities and other complications. Non-syndromic craniosynostosis (NSCS) usually involves only one cranial suture. Unicoronal (UCS) and metopic craniosynostosis (MS) are two common types of NSCS. Correction of fronto-orbital deformity is the main aim of surgical intervention in patients of UCS and MS. In this article, we express our novel technique of bone increment to use a bone graft for reshaping of the orbital rim deformity in patients diagnosed with UCS and MS. Methods: 20 patients (10 UCS and 10 MS) were treated surgically at our institute, between 2020 and 2022. The degree of the needed fronto-orbital advancement was determined preoperatively using full history, preoperative examination, three-dimensional (3D) computed tomography (CT) and longitudinal orbital projection. Results: The mean hospital stay, operative time, anesthetic duration, intraoperative blood loss and transfusion showed significantly lower results than the literature. Conclusion: The bone increment technique for fronto-orbital reshaping of patients diagnosed with UCS and MS, is an innovative and efficient reconstructive technique and may provide a valuable and alternative technique and addition in selected cases in craniofacial surgery.http://www.sciencedirect.com/science/article/pii/S2214751923000403CraniosynostosisReconstructionBone incrementCranial reshapingPlagiocephalyTrigonocephaly |
| spellingShingle | Ali Riazi Bahram Aminmansoor Ata Mahdkhah Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosis Interdisciplinary Neurosurgery Craniosynostosis Reconstruction Bone increment Cranial reshaping Plagiocephaly Trigonocephaly |
| title | Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosis |
| title_full | Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosis |
| title_fullStr | Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosis |
| title_full_unstemmed | Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosis |
| title_short | Bone increment: A novel technique in correction of fronto-orbital deformity in patients with craniosynostosis |
| title_sort | bone increment a novel technique in correction of fronto orbital deformity in patients with craniosynostosis |
| topic | Craniosynostosis Reconstruction Bone increment Cranial reshaping Plagiocephaly Trigonocephaly |
| url | http://www.sciencedirect.com/science/article/pii/S2214751923000403 |
| work_keys_str_mv | AT aliriazi boneincrementanoveltechniqueincorrectionoffrontoorbitaldeformityinpatientswithcraniosynostosis AT bahramaminmansoor boneincrementanoveltechniqueincorrectionoffrontoorbitaldeformityinpatientswithcraniosynostosis AT atamahdkhah boneincrementanoveltechniqueincorrectionoffrontoorbitaldeformityinpatientswithcraniosynostosis |