Twenty-Year Review of a Single Surgeon's Experience Using a Unique Surgical Technique to Correct Lambdoidal Synostosis
| Autor: | Marcia Spear, Julian Winocour, Charles L. Rodriguez-Feo, Kevin M. Kelly, Roberto Ramirez |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty viruses medicine.medical_treatment Craniosynostosis 03 medical and health sciences Craniosynostoses 0302 clinical medicine medicine Humans Craniofacial Retrospective Studies Fibrous joint business.industry Tongue and groove Skull Infant General Medicine biochemical phenomena metabolism and nutrition Synostosis Plastic Surgery Procedures medicine.disease Surgery Sagittal suture medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Distraction osteogenesis Female business 030217 neurology & neurosurgery |
| Zdroj: | The Journal of craniofacial surgery. 28(7) |
| ISSN: | 1536-3732 |
| Popis: | Background Numerous techniques for the surgical management of lambdoidal synostosis have been previously described; however, no best practice technique currently exists. Surgical procedures range from complete posterior calvarial reconstruction to distraction osteogenesis techniques. Our primary purpose is to describe a novel approach to correct unilateral or bilateral lambdoidal synostosis. Methods A retrospective review was performed on a single surgeon's experience with craniosynostosis (1994-2014). Specifically, craniosynostosis cases involving the lambdoidal suture, which were repaired using a novel 'tongue and groove' technique, were identified. Results A total of 664 craniosynostosis cases were retrieved, with 21 primarily involving the lambdoidal suture (3.2%). Of these, 18 were unilateral and 3 were bilateral lambdoidal synostosis. Male-to-female ratio was 3:1. Average age of first encounter with a craniofacial physician was 33 weeks (8 months). Average age at time of surgery was 43 weeks (10.75 months). Complications of this technique included 1 patient who experienced refusion of his lambdoidal suture and fusion of his sagittal suture, and 4 who returned for bone graft coverage of full-thickness calvarial defects owing to a lack of complete reossification. Conclusion The "tongue and groove" technique represents a novel method for the management of lambdoidal synostosis with good esthetic outcomes, allowing immediate cranial stabilization with increased skull volume. This technique, used by the senior author for >20 years, provides a reproducible and reliable method of correcting lambdoidal synostosis. |
| Databáze: | OpenAIRE |
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