Abstract
BackgroundThe enlargement of the posterior cranial fossa volume is considered one of the main steps of the surgical management of children with multiple sutures craniosynostosis. Different management options have been proposed including fixed expansive craniotomy, free bone flap craniotomy, and distraction osteogenesis.ObjectivesTo review indications to “free bone flap” craniotomy for the posterior fossa expansion, detailing advantages, disadvantages, and complications related to the technique.Results and conclusionsA review of the literature shows that “free bone flap” posterior expansion cranioplasty still has a role, particularly in infants with thin and “honeycomb” structure of the bone, allowing to gain adequate intracranial volume increases and to postpone to a more adequate time surgery aimed at anterior cranial fossa expansion.
Highlights
The enlargement of the posterior cranial fossa volume is considered one of the main steps of the surgical management of children with multiple sutures craniosynostosis
Progressive skull base synchondrosis and the fusion of the lambdoid sutures are the main actors of this phenomenon leading to an early volume reduction of the posterior cranial fossa [1,2,3,4,5]
Sgouros et al reported the results of 22 children, 16 of whom affected by multiple sutures synostosis, with a defined syndrome in 13 of them, who underwent posterior expansion with a “free floating” occipital bone flap, using two different surgical techniques, a
Summary
The enlargement of the posterior cranial fossa volume is considered one of the main steps of the surgical management of children with multiple sutures craniosynostosis. The need for posterior cranial fossa expansion conflict with an extremely fragile bone structure [6, 7].
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
