Abstract
BackgroundCraniosynostosis is known as premature closure of one or more of the cranial sutures. Anterior craniosynostosis involves anterior plagiocephaly and trigonocephaly. One of the issues in anterior craniosynostosis skull reshaping is maintaining an aesthetically pleasing forehead curve. Therefore, in this article, we demonstrate our novel technique to use a single-piece bone flap for cranial reshaping of the anterior mold in patients diagnosed with anterior craniosynostosis. A retrospective record review of patients who underwent single piece bone flap cranial reshaping for correction of unicoronal synostosis (UCS) and metopic synostosis (MS) at an Academic Institute in Riyadh, Saudi Arabia, between 2018 and 2020, was conducted.ResultsSix non-syndromic consecutive patients were included. Three of the patients had MS. The mean age at surgery was 11.16 months (range, 6–19 months). The average OR time was 315 min (range, 263–368 min). The average intraoperative blood loss was 225 ml (range, 100–400 ml). All patients had achieved acceptable functional and aesthetic results.ConclusionOur novel technique is an innovative and efficient reconstructive technique to simultaneously address MS and UCS and minimize intraoperative bleeding and surgery time. However, more studies with more cases are required.
Highlights
Craniosynostosis is known as premature closure of one or more of the cranial sutures
Six consecutive patients with anterior craniosynostosis were operated in our institute using this novel technique, Table 1
One patient developed a small dural tear intraoperatively. No complications such as intracranial hemorrhage, infection, wound dehiscence, or mortality was encountered in our series
Summary
Craniosynostosis is known as premature closure of one or more of the cranial sutures. One of the issues in anterior craniosynostosis skull reshaping is maintaining an aesthetically pleasing forehead curve. In this article, we demonstrate our novel technique to use a single-piece bone flap for cranial reshaping of the anterior mold in patients diagnosed with anterior craniosynostosis. Craniosynostosis is known as premature closure of one or more of the cranial sutures, which causes an abnormally shaped head. Surgical reconstruction of anterior craniosynostosis is predominantly performed for psychosocial and aesthetic considerations [9]. One of the issues in anterior craniosynostosis skull reshaping is maintaining the new forehead curve. In this article, we demonstrate our novel technique to use a single-piece bone flap for cranial reshaping of the forehead in patients diagnosed with anterior craniosynostosis.
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.
