Posterior cranial vault distraction is an effective technique when a significant increase in the intracranial volume is required in patients with craniosynostoses. This technique has been proven to be safe and time saving and usually is associated with low perioperative morbidity as well as low intraoperative bleeding. Herein a technique is presented starting from the preoperative planning, describing the surgical steps of the operation and the postoperative distraction protocol used by the authors. The authors present important tips and tricks aiming to minimise complications and undesired events.
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http://dx.doi.org/10.1007/s00381-021-05203-x | DOI Listing |
Neurosurg Focus
January 2025
Departments of3Plastic Surgery and.
Objective: The surgical management of craniosynostosis varies without consensus on technique or standard outcomes reporting. The authors of this study aimed to investigate current surgical management of craniosynostosis in the United States.
Methods: Two hundred seventy-five surgeons actively treating craniosynostosis in the United States were surveyed.
J Craniofac Surg
December 2024
Alder Hey Children's Hospital, Eaton Road, Liverpool, UK.
Introduction: Posterior vault distraction osteogenesis (PVDO) allows significant increase in intracranial volume but is associated with complications including cerebrospinal fluid (CSF) leaks, infection and device failure. The authors outline their outcomes over 12 years and the impact of PVDO on pre-existing Chiari malformation type 1 (CM).
Method: Retrospective review of all PVDOs in our unit over a period of 12 years from 2011 to 2023.
J Craniofac Surg
December 2024
Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles.
Fronto-orbital retrusion may occur after primary surgical correction of craniosynostosis, particularly in patients with syndromic craniosynostosis. This study investigated reoperation rates and factors contributing to FO relapse among this cohort. A retrospective review evaluated reoperation for FO relapse in patients with syndromic multisuture craniosynostosis who underwent primary fronto-orbital advancement (FOA) + calvarial vault remodeling (CVR) at our institution between 2004 and 2024.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
November 2024
Craniofacial Surgery Consultant, Alder Hey Children's Hospital, Liverpool, UK.
J Craniofac Surg
September 2024
Department of Children's Surgery, Division of Pediatric Head & Neck Surgery, AdventHealth for Children, Orlando, FL.
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