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Tytuł pozycji:

Conventional posterior cranial vault expansion: indications and results-review of the literature.

Tytuł:
Conventional posterior cranial vault expansion: indications and results-review of the literature.
Autorzy:
Ros B; Pediatric Neurosurgery Section, Department of Neurosurgery, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain. .; Craniofacial Surgery Unit, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain. .
Iglesias S; Pediatric Neurosurgery Section, Department of Neurosurgery, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain.; Craniofacial Surgery Unit, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain.
Selfa A; Pediatric Neurosurgery Section, Department of Neurosurgery, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain.
Ruiz F; Department of Maxillofacial Surgery, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain.; Craniofacial Surgery Unit, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain.
Arráez MÁ; Pediatric Neurosurgery Section, Department of Neurosurgery, Regional University Hospital, Av. De Carlos Haya, 84, 29010, Malaga, Spain.
Źródło:
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2021 Oct; Vol. 37 (10), pp. 3149-3175. Date of Electronic Publication: 2021 Oct 04.
Typ publikacji:
Journal Article; Review
Język:
English
Imprint Name(s):
Original Publication: Berlin : Springer International, c1985-
MeSH Terms:
Craniosynostoses*/diagnostic imaging
Craniosynostoses*/surgery
Intracranial Hypertension*
Cranial Sutures ; Humans ; Infant ; Postoperative Period ; Radiography ; Skull/diagnostic imaging ; Skull/surgery ; Skull Base
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Contributed Indexing:
Keywords: Cranial expansion; Craniosynostoses; Lambdoid synostosis; Plagiocephaly
Entry Date(s):
Date Created: 20211004 Date Completed: 20211118 Latest Revision: 20211118
Update Code:
20240105
DOI:
10.1007/s00381-021-05318-1
PMID:
34604916
Czasopismo naukowe
In the late 1980s, craniofacial surgery units reported suboptimal cosmetic results, cranial volume restriction, and intracranial hypertension after anterior cranial vault remodeling in bilateral coronal synostosis associated with severe brachyturricephaly. A possible explanation was a severe associated growth restriction of the posterior calvaria with radiological synostosis at the lambda sutures. "Conventional" or "fixed" posterior cranial vault expansion techniques were developed to address these limitations, sometimes as the first surgical step in a two-staged protocol of total calvarial reconstruction, combined with suboccipital decompression in cases of symptomatic cerebellar tonsillar herniation or, more easily, to resolve the characteristic occipital flattening of lambdoid synostosis. Various surgical approaches have been described; however, the indications for and timing of surgical treatment and postoperative evaluation of results still remain controversial. Although more invasive, conventional posterior cranial vault expansion has proven to be safe and offers a remodeled and protective bony vault immediately after surgery, but the underlying cranial base malformation remained untreated, with implications in the postoperative growth of the facial skeleton. Overcorrection, rigid stabilization, and grafting are also concerns to be addressed.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

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