AI Article Synopsis
- The study assesses the use of strip craniectomy paired with distraction osteogenesis for treating craniosynostosis in two selected cases.
- After a delay of 4 days, distraction was executed using intraoral devices, achieving 25-28 mm separation of the skull segments.
- Results showed increased skull size, enhanced cognitive function, and reduced symptoms associated with elevated intracranial pressure, indicating that this combined treatment is effective.
Article Abstract
Objective: The objective of the following study is to evaluate the results of strip craniectomy with distraction osteogenesis, using the intraoral distractor devices, as a modality of treatment for craniosynostosis.
Materials And Methods: Two cases of cranial synostosis were selected for this study. The cases were operated for strip craniectomy with distraction osteogenesis using a pair of miniaturized intraoral distractor devices. Distraction was carried out after a latency period of 4 days at a rate of 0.5 mm twice a day. Total separation of osteotomized segments achieved was in the range of 25-28 mm.
Results: Both patients were evaluated clinico-radiologically at 3, 6 and 12 months postoperatively. There was an increase in the occipital frontal circumference with improvement in the contour of the skull. Both the cases showed marked improvement of bowel habits, bladder control and cognitive behavior. Radiologically copper-beaten appearance reduced considerably suggesting improved intracranial pressure.
Conclusion: Combination of distraction osteogenesis with strip craniectomy for the management of craniosynostosis is an effective treatment modality with promising results.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073456 | PMC |
| http://dx.doi.org/10.4103/2231-0746.133068 | DOI Listing |
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