Endoskopsko zdravljenje skafocefalije: prikaz primera in nove operacijske tehnike

Jugović, Domagoj; Spazzapan, Peter

doi:10.6016/zdravvestn.1200

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…Many surgical techniques have been described. The most commonly used are biparietal reshaping with the RHT [54], total vault reshaping, and endoscopic reshaping [35,[54][55][56]. Biparietal remodelling or RHT, is based on the expansion of the parietal part of the skull.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…Despite these many well-known open surgical techniques, in recent years, many centres have focused on the introduction of surgical techniques aimed at reducing the morbidity and overall surgical risk of the procedure. To this end, surgical techniques based on small skin incisions have been developed [51,52,56,61] (Figure 8). The endoscopic approach is performed through two small incisions in the skin (arrows).…”

Section: Surgical Techniquesmentioning

confidence: 99%

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Isolated Sagittal Craniosynostosis: A Comprehensive Review

Spazzapan,

Velnar

2024

Diagnostics

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Sagittal craniosynostosis, a rare but fascinating craniofacial anomaly, presents a unique challenge for both diagnosis and treatment. This condition involves premature fusion of the sagittal suture, which alters the normal growth pattern of the skull and can affect neurological development. Sagittal craniosynostosis is characterised by a pronounced head shape, often referred to as scaphocephaly. Asymmetry of the face and head, protrusion of the fontanel, and increased intracranial pressure are common clinical manifestations. Early recognition of these features is crucial for early intervention, and understanding the aetiology is, therefore, essential. Although the exact cause remains unclear, genetic factors are thought to play an important role. Mutations in genes such as FGFR2 and FGFR3, which disrupt the normal development of the skull, are suspected. Environmental factors and various insults during pregnancy can also contribute to the occurrence of the disease. An accurate diagnosis is crucial for treatment. Imaging studies such as ultrasound, computed tomography, magnetic resonance imaging, and three-dimensional reconstructions play a crucial role in visualising the prematurely fused sagittal suture. Clinicians also rely on a physical examination and medical history to confirm the diagnosis. Early detection allows for quick intervention and better treatment outcomes. The treatment of sagittal craniosynostosis requires a multidisciplinary approach that includes neurosurgery, craniofacial surgery, and paediatric care. Traditional treatment consists of an open reconstruction of the cranial vault, where the fused suture is surgically released to allow normal growth of the skull. However, advances in minimally invasive techniques, such as endoscopic strip craniectomy, are becoming increasingly popular due to their lower morbidity and shorter recovery times. This review aims to provide a comprehensive overview of sagittal craniosynostosis, highlighting the aetiology, clinical presentation, diagnostic methods, and current treatment options.

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