Spring-Assisted Surgery of Unilambdoid Craniosynostosis.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
14 Feb 2024
14 Feb 2024
Historique:
received:
21
09
2023
accepted:
03
01
2024
medline:
14
2
2024
pubmed:
14
2
2024
entrez:
14
2
2024
Statut:
aheadofprint
Résumé
Craniosynostosis is traditionally treated with extensive cranial vault reconstructions (CVRs). Although less invasive techniques, such as endoscopic strip craniectomy with postoperative helmet therapy, have been successful, they also present difficulties. An alternative method is distraction osteogenesis using either manually controlled devices or specially designed springs. In this study, the authors provide the first comparison of spring-assisted surgery (SAS) with CVR for the treatment of unilambdoid synostosis (ULS). Fourteen consecutive patients (8 CVR and 6 SAS) treated for ULS at Sahlgrenska University Hospital between 2005 and 2018 were included. Skull shape and deviations were evaluated using previously defined measurement points on 3-dimensional computed tomography scans preoperatively, at spring removal, and at 3 years of age. Posterior and middle cranial fossa (PCF and MCF, respectively), skull-base cant, facial twist, and mastoid bulge (MB) were measured, and clinical data were obtained from chart reviews. The results indicated that at the 3-year follow-up, PCF, MCF, and MB improved in both groups, with no significant difference in outcome observed between methods. In the SAS group, duration of operation [61±27 min (mean±SD)] and perioperative bleeding (3.5±2.8 mL/kg body weight) were both significantly lower relative to the CVR group (P<0.05). These findings showed that both SAS and CVR resulted in similar improvements in treating ULS, although neither produced complete normalization of skull shape. The results suggest that early diagnosis and operation allow less extensive SAS to be performed without adversely affecting the results.
Identifiants
pubmed: 38353548
doi: 10.1097/SCS.0000000000010035
pii: 00001665-990000000-01350
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Mittermiller PA, Rochlin DH, Menard RM. Endoscopic spring-mediated distraction for unilambdoid craniosynostosis. J Craniofac Surg 2020;31:2097–2100
Borad V, Cordes EJ, Liljeberg KM, et al. Isolated lambdoid craniosynostosis. J Craniofac Surg 2019;30:2390–2392
Tarnow P, Kölby L, Maltese G, et al. Incidence of non-syndromic and syndromic craniosynostosis in Sweden. J Craniofac Surg 2022;33:1517–1520
Ploplys EA, Hopper RA, Muzaffar AR, et al. Comparison of computed tomographic imaging measurements with clinical findings in children with unilateral lambdoid synostosis. Plast Reconstr Surg 2009;123:300–309
Rhodes JL, Tye GW, Fearon JA. Craniosynostosis of the lambdoid suture. Semin Plast Surg 2014;28:138–143
Barone CM, Jimenez DF. Endoscopic craniectomy for early correction of craniosynostosis. Plast Reconstr Surg 1999;104:1965–1973; discussion 1974–1975
Jimenez DF, Barone CM, Cartwright CC, et al. Early management of craniosynostosis using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy. Pediatrics 2002;110:97–104
Chan JW, Stewart CL, Stalder MW, et al. Endoscope-assisted versus open repair of craniosynostosis: a comparison of perioperative cost and risk. J Craniofac Surg 2013;24:170–174
Kung TA, Vercler CJ, Muraszko KM, et al. Endoscopic strip craniectomy for craniosynostosis: do we really understand the indications, outcomes, and risks? J Craniofac Surg 2016;27:293–298
Smartt JM Jr, Reid RR, Singh DJ, et al. True lambdoid craniosynostosis: long-term results of surgical and conservative therapy. Plast Reconstr Surg 2007;120:993–1003
Kamel GN, McKee RM, Carbulido K, et al. A posterior rotational flap technique using distraction osteogenesis for unilateral lambdoid craniosynostosis. J Craniofac Surg 2021;32:1365–1369
Nguyen A, Purnell CA, Mercan E, et al. Cranial Shape Changes in Nonsyndromic Unilateral Lambdoid Synostosis after Open Posterior Vault Remodeling. Plast Reconstr Surg 2023;152:155–165
White N, Evans M, Dover MS, et al. Posterior calvarial vault expansion using distraction osteogenesis. Childs Nerv Syst 2009;25:231–236
Kotrikova B, Krempien R, Freier K, et al. Diagnostic imaging in the management of craniosynostoses. Eur Radiol 2007;17:1968–1978
Hurmerinta K, Kiukkonen A, Hukki J, et al. Lambdoid synostosis versus positional posterior plagiocephaly, a comparison of skull base and shape of calvarium using computed tomography imaging. J Craniofac Surg 2015;26:1917–1922
Komuro Y, Yanai A, Hayashi A, et al. Treatment of unilateral lambdoid synostosis with cranial distraction. J Craniofac Surg 2004;15:609–613
Arnaud E, Marchac A, Jeblaoui Y, et al. Spring-assisted posterior skull expansion without osteotomies. Childs Nerv Syst 2012;28:1545–1549
Zubovic E, Woo AS, Skolnick GB, et al. Cranial base and posterior cranial vault asymmetry after open and endoscopic repair of isolated lambdoid craniosynostosis. J Craniofac Surg 2015;26:1568–1573
Paganini A, Bhatti-Söfteland M, Fischer S, et al. In search of a single standardised system for reporting complications in craniofacial surgery: a comparison of three different classifications. J Plast Surg Hand Surg 2019;53:321–327
Smartt JM Jr, Elliott RM, Reid RR, et al. Analysis of differences in the cranial base and facial skeleton of patients with lambdoid synostosis and deformational plagiocephaly. Plast Reconstr Surg 2011;127:303–312
Elliott RM, Smartt JM Jr, Taylor JA, et al. Does conventional posterior vault remodeling alter endocranial morphology in patients with true lambdoid synostosis? J Craniofac Surg 2013;24:115–119
Rattani A, Riordan CP, Meara JG, et al. Comparative analysis of cranial vault remodeling versus endoscopic suturectomy in the treatment of unilateral lambdoid craniosynostosis. J Neurosurg Pediatr 2020;26:105–112
Weimin S, Cui J, Chen J, et al. Treatment of unilateral lambdoid synostosis using cranium distraction osteogenesis with z-shaped osteotomy. Ann Plast Surg 2017;78:294–298
Zöller JE, Mischkowski RA, Speder B. Preliminary results of standardized occipital advancement in the treatment of lambdoid synostosis. J Craniomaxillofac Surg 2002;30:343–348
Gülay Açar AEÇ. Surgical Anatomy of the Temporal Bone, 2.2.2 Surgical landmarks and ossification of the mastoid portion. In: Sridharan G, ed. Oral and Maxillofacial Surgery. London: IntechOpen Ltd; 2020. doi:10.5772/intechopen.93223
Rahne T, Schilde S, Seiwerth I, et al. Mastoid dimensions in children and young adults: consequences for the geometry of transcutaneous bone-conduction implants. Otol Neurotol 2016;37:57–61
Almuhawas FA, Dhanasingh AE, Mitrovic D, et al. Age as a factor of growth in mastoid thickness and skull width. Otol Neurotol 2020;41:709–714
Melchionna M, Profico A, Buzi C, et al. A new integrated tool to calculate and map bilateral asymmetry on three-dimensional digital models. Symmetry 2021;13:69–79
Mercan E, Hopper RA, Maga AM. Cranial growth in isolated sagittal craniosynostosis compared with normal growth in the first 6 months of age. J Anat 2020;236:105–116
Sandy R, Hennocq Q, Nysjö J, et al. Orbital shape in intentional skull deformations and adult sagittal craniosynostoses. J Anat 2018;233:302–310
Ocakoglu G, Taskapilioglu MO, Kaya S, et al. Statistical shape analyses of patients with scaphocephaly after surgical remodeling. Turk Neurosurg 2020;30:382–386
Heuzé Y, Boyadjiev SA, Marsh JL, et al. New insights into the relationship between suture closure and craniofacial dysmorphology in sagittal nonsyndromic craniosynostosis. J Anat 2010;217:85–96
Rutland JW, Delman BN, Bellaire C, et al. Craniofacial dysmorphology in unilateral coronal synostosis using three-dimensional landmark-based analysis with generalized procrustes superimposition. J Craniofac Surg 2021;32:16–20
Wolański W, Larysz D, Gzik M, et al. Modeling and biomechanical analysis of craniosynostosis correction with the use of finite element method. Int J Numer Method Biomed Eng 2013;29:916–925
Cross C, Khonsari RH, Larysz D, et al. Predicting and comparing three corrective techniques for sagittal craniosynostosis. Sci Rep 2021;11:12. doi:10.1038/s41598-021-00642-7
doi: 10.1038/s41598-021-00642-7
Cross C, Khonsari RH, Patermoster G, et al. A computational framework to predict calvarial growth: optimising management of sagittal craniosynostosis. Front Bioeng Biotechnol 2022;10:8. doi:10.3389/fbioe.2022.913190
doi: 10.3389/fbioe.2022.913190
Mellgren J, Säljö K, Tarnow P, et al. Improved facial and skull-base symmetry following osteotomy and distraction of unilateral coronal synostosis. Plast Reconstr Surg 2024;153:447–456
Belza CC, Modi RN, Kamel GN, et al. Perioperative comparison between open cranial vault remodeling and distraction osteogenesis for unilateral lambdoid craniosynostosis. J Craniofac Surg 2023;34:1222–1225