Expansion and compression distraction osteogenesis based on volumetric and neurodevelopmental analysis in sagittal craniosynostosis

Lee, Myung Chul; Shim, Kyu Won; Park, Eun Kyung; Yun, In Sik; Kim, Do Kyung; Kim, Yong Oock

doi:10.1007/s00381-015-2843-y

Cited by 9 publications

(23 citation statements)

References 33 publications

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“…Our recent data are consistent with these findings regarding intracranial volume. A smaller preoperative intracranial volume might suggest a low developmental score compared to the normal volume, although in most cases, the volume was not smaller than the age-matched average 25) .…”

Section: The Relationship Between Distortion Of Skull and Cognitive Fmentioning

confidence: 88%

“…However, a consistent association between neurodevelopmental status, optimal age for surgery, and intracranial pressure (ICP) has not been observed in isolated single suture craniosynostosis (SSC). Ongoing research and accumulating evidence suggest that the results of neurodevelopmental examination of isolated SSC children are mostly within the normal range 25) . However, the proportion of scores that are below average is greater for these children than in children with patent sutures, suggesting an elevated risk of developmental delays and further cognitive deterioration 16 23 24 25) .…”

Section: Introductionmentioning

confidence: 99%

“…Ongoing research and accumulating evidence suggest that the results of neurodevelopmental examination of isolated SSC children are mostly within the normal range 25) . However, the proportion of scores that are below average is greater for these children than in children with patent sutures, suggesting an elevated risk of developmental delays and further cognitive deterioration 16 23 24 25) . Neurocognitive impairments have been reported in 35–50% of school-aged children with isolated SSC 24) .…”

Section: Introductionmentioning

confidence: 99%

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Neurodevelopmental Problems in Non-Syndromic Craniosynostosis

Shim

Park

Kim

et al. 2016

J Korean Neurosurg Soc

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Craniosynostosis is the premature fusion of calvarial sutures, resulting in deformed craniofacial appearance. Hence, for a long time, it has been considered an aesthetic disorder. Fused sutures restrict growth adjacent to the suture, but compensatory skull growth occurs to accommodate the growing brain. The primary goal for the management of this craniofacial deformity has been to release the constricted skull and reform the distorted shape of the skull vault. However, the intellectual and behavioral prognosis of affected children has also been taken into consideration since the beginning of the modern era of surgical management of craniosynostosis. A growing body of literature indicates that extensive surgery, such as the whole-vault cranioplasty approach, would result in better outcomes. In addition, the age at treatment is becoming a major concern for optimal outcome in terms of cosmetic results as well as neurodevelopment. This review will discuss major concerns regarding neurodevelopmental issues and related factors.

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Section: The Relationship Between Distortion Of Skull and Cognitive Fmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neurodevelopmental Problems in Non-Syndromic Craniosynostosis

Shim

Park

Kim

et al. 2016

J Korean Neurosurg Soc

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“…Therefore the frame could be removed under 60 days after surgery in our institution. Recent reports of conventional unilateral distraction osteogenesis methods showed that the period from the first surgery of attachment of the device to the second surgery of removal ranged from 70 to 100 days ( Table 2 ) 23 31 34 37 39 41) .…”

Section: Advantages Of Mcdo Compared With the Other Types Of Distractmentioning

confidence: 99%

“…Our mean surgical time was approximately 300 minutes, even in cases from 2011. Recent reports of the various unidirectional distraction osteogenesis procedures showed that the mean surgical times ranged from 115 to 230 minutes ( Table 2 ) 23 31 34 37 39) . Our relatively longer surgical time may depend on the time of osteotomy to create many smaller bone fragments.…”

Section: Limitations Of Mcdomentioning

confidence: 99%

Distraction Osteogenesis Update: Introduction of Multidirectional Cranial Distraction Osteogenesis

Gomi

Sunaga

Kamochi

et al. 2016

J Korean Neurosurg Soc

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In this review, we discuss in detail our current procedure for treating craniosynostosis using multidirectional cranial distraction osteogenesis (MCDO). The MCDO method allows all phenotypes of skull deformity to be reshaped by distraction osteogenesis, except in patients who are 5 months of age or younger and patients with posterior cranial vault problems. We report the results of clinical data of 36 children with craniosynostosis who underwent MCDO between 2005 and 2014 in our institute. This method has the following benefits, such as a high flexibility of reshaping, shorter treatment period and less invasive secondary intervention. We also discuss the other distraction osteogenesis techniques that are used to treat craniosynostosis and compare them with MCDO. The preferred procedure for correction of craniosynostosis may depend on the patient's age, the extent of deformity, and the extent of correction achievable by surgery. We can arrange the combinations of various methods according to the advantage and disadvantage of each technique.

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Sagittal Synostosis and Its Association With Cognitive, Behavioral, and Psychological Functioning

et al. 2021

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Key Points Question Do individuals with sagittal synostosis experience greater cognitive, behavioral, and/or psychological difficulties, compared with their healthy peers? Findings In this meta-analysis, data from 32 independent studies involving a pooled sample of 1422 children and adults and examining 16 domains were analyzed. Overall, results were highly variable, with individual study results ranging from moderately positive findings for global development, where the children with sagittal synostosis were functioning at better levels than their peers, to large negative differences between groups for general cognition. Meaning These findings suggest that some children with sagittal synostosis experience negative outcomes; thus, ongoing monitoring and referral to support services as required are critical.

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Expansion and compression distraction osteogenesis based on volumetric and neurodevelopmental analysis in sagittal craniosynostosis

Cited by 9 publications

References 33 publications

Neurodevelopmental Problems in Non-Syndromic Craniosynostosis

Neurodevelopmental Problems in Non-Syndromic Craniosynostosis

Distraction Osteogenesis Update: Introduction of Multidirectional Cranial Distraction Osteogenesis

Sagittal Synostosis and Its Association With Cognitive, Behavioral, and Psychological Functioning

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