A Novel Technique to Secure the Skull Post in a Thin Skull Allowing for Surgical Navigation in Infants.

Bone Screws Imaging, Three-Dimensional Skull Surgery, Computer-Assisted Tomography, X-Ray Computed

Journal

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
ISSN: 1531-5053
Titre abrégé: J Oral Maxillofac Surg
Pays: United States
ID NLM: 8206428

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 01 08 2019
revised: 05 10 2019
accepted: 06 10 2019
pubmed: 11 11 2019
medline: 18 9 2020
entrez: 10 11 2019
Statut: ppublish

Résumé

Several surgical procedures have been described to correct the deformities associated with craniosynostosis. To simplify the prediction of results, virtual planning techniques and image-guided surgery have been used. Digital planning can be transferred to the operating room using osteotomy and cutting guides or surgical navigation. We describe a novel bone fixation method that allows for anchoring of a cranial dynamic reference frame (DRF) in a steady manner. DRF can be used for registration and as a reference for surgical navigation in an infant's skull. We describe this novel technique to overcome the problems of DRF fixation on an infant's thin and weak calvarium. We fixed the DRF to the cranium using this new system. A 6-hole X-shaped miniplate was placed using 5 screws, leaving 1 of the central holes free. The self-drilling screw that anchors the DRF in position was placed in the free central hole, avoiding calvarial bone breakage and allowing for surgical navigation. To the best of our knowledge, the present study is the first report of this DRF anchorage modification for surgical navigation during surgery of craniosynostosis in an infant.

Identifiants

DOI: 10.1016/j.joms.2019.10.004 PMID: 31705863
pubmed: 31705863
pii: S0278-2391(19)31161-9
doi: 10.1016/j.joms.2019.10.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

284.e1-284.e4

Informations de copyright

Copyright © 2019 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Alicia Dean (A)

Head, Department of Oral and Maxillofacial Surgery, Reina Sofia University Hospital; and Associate Professor, Medical School, Córdoba University, Córdoba, Spain. Electronic address: adeanferrer@yahoo.es.

Francisco Alamillos (F)

Medical Assistant, Department of Oral and Maxillofacial Surgery, Reina Sofia University Hospital; and Associate Professor, Medical School, Córdoba University, Córdoba, Spain.

Susana Heredero (S)

Medical Assistant, Department of Oral and Maxillofacial Surgery, Reina Sofia University Hospital, Córdoba, Spain.

Juan Solivera (J)

Head, Department of Neurosurgery, Reina Sofia University Hospital, Córdoba, Spain.

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Classifications MeSH

questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Matériels de fixation chirurgicale › Appareils de fixation orthopédique › Fixateurs internes › Vis orthopédiques › A Novel Technique to Secure the Skull Post in...
questionsmedicales.fr › Sciences de l'information › Méthodologies informatiques › Traitement d'image par ordinateur › Imagerie tridimensionnelle › A Novel Technique to Secure the Skull Post in...
questionsmedicales.fr › Appareil locomoteur › Squelette › Crâne › A Novel Technique to Secure the Skull Post in...
questionsmedicales.fr › Procédures de chirurgie opératoire › Chirurgie assistée par ordinateur › A Novel Technique to Secure the Skull Post in...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Tomographie à rayons X › Tomodensitométrie › A Novel Technique to Secure the Skull Post in...