Frontal–orbital advancement for the management of anterior plagiocephaly

Matushita, Hamilton; Alonso, Nivaldo; Cardeal, Daniel Dante; Andrade, Fernanda de

doi:10.1007/s00381-012-1765-1

Cited by 17 publications

(16 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Važno je, da se diagnoza postavi v prvih mesecih življe-nja in da se otrok operira v prvih 12 mesecih (9). Tudi pri našem bolniku smo s kirurškim posegom počakali do ugodne starosti sedmih mesecev, saj je takrat izid zdravljenja najboljši (10,11). Optimalni čas operacije je sicer po opisih v literaturi še vedno vir razprav.…”

Section: Razpravljanjeunclassified

“…Optimalni čas operacije je sicer po opisih v literaturi še vedno vir razprav. Po mnenju večine avtorjev je poseg najbolje opraviti med šestim in dvanajstim mesecem starosti (10)(11)(12)(13). Poseg pred to starostjo je nevaren zaradi možne velike izgube krvi ter zaradi večje možnosti recidiva kraniosinostoze (11,13).…”

Section: Razpravljanjeunclassified

“…Gre za princip, po katerem so dolgoročni estetski rezultati boljši, če se preoblikovani bandeau na prizadeti strani pričvrsti v bolj anteriornem in inferiornem položaju v primerjavi z neprizadeto stranjo, se pravi, da se hiperkorekcija opravi v transverzalni, koronarni in v sagitalni ravnini (11,13). Taka tehnika zmanjšuje dolgoročno temporalno zoženje kraniosinostotične strani in možnost ponovitve sinostoze.…”

Section: Razpravljanjeunclassified

See 2 more Smart Citations

Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike

Spazzapan¹,

Bošnjak²,

Velnar³

et al. 2017

SlovMedJour

View full text Add to dashboard Cite

IzvlečekAnteriorna plagiocefalija nastane zaradi enostranske kraniosinostoze koronarnega šiva. Je tretja najpogostejša oblika nesindromske kraniosinostoze. Glavne značilnosti so enostranska sploščenost čela in supraorbitalnega loka, deformacija baze sprednje lobanjske kotanje in asimetrija orbit. Zdravljenje je kirurško, saj s tem razbremenimo utesnjeno možgansko tkivo in s popravki dosežemo estetski učinek. Opisujemo klinični primer dečka z anteriorno plagiocefalijo, pri katerem je bila s kirurško tehniko opravljena obsežna kraniofacialna rekonstrukcija. AbstractAnterior plagiocephaly is a result of premature unilateral fusion of the coronary suture. It is the third most common form of non-syndromic craniosynostoses. Its main features include forehead, supraorbital arch and anterior cranial fossa deformation as well as orbital asymmetry. The treatment is surgical. The main aim is to relieve compressed brain tissue and achieve an acceptable aesthetic effect. We describe a boy with anterior plagiocephaly, who has undergone an extensive craniofacial reconstruction. UvodAnteriorna plagiocefalija označuje klinično sliko, ki nastane zaradi enostranske kraniosinostoze koronarnega šiva. Izraz izvira iz grške besede πλαγιος (poševen) in označuje deformacijo kostnih elementov lobanjskega svoda, obraza in lobanjske baze, za katero sta značilni sploščenost ene strani čela in asimetrija orbit. V 61 % primerov gre za nesindromske, t. i. izolirane kraniosinostoze, v 49 % pa se anteriorna plagiocefalija pridružuje drugim razvojnim anomalijam v sklopu različnih sindromskih obolenj (1). Enostranska kraniosinostoza koronarnega šiva predstavlja 13-16 % vseh kraniosinostoz in je tretja najpogostejša oblika nesindromske kraniosinostoze (2). Incidenca je približno 1 na 10.000 rojstev. Dvakrat pogosteje zbolevajo deklice. Enostranska kraniosinostoza koronarnega šiva je petkrat bolj pogosta od obojestranske, večkrat pa je prizadeta desna stran (2,3).Posledica enostranske kraniosinostoze koronarnega šiva je kompleksna klinična slika (Slika 1A, 1B). Njeni glavni razpoznavni znaki so enostranska sploščenost čela in supraorbitalnega loka, kompenzacijsko izbočenje kontralateralne polovice čela, deformacija baze sprednje lobanjske kotanje in asimetrija orbit. Pridružujejo se tudi deformacije priležnih lobanjskih kosti. Na prizadeti strani je uho pomaknjeno navzpred,

show abstract

Section: Razpravljanjeunclassified

See 1 more Smart Citation

Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike

Spazzapan¹,

Bošnjak²,

Velnar³

et al. 2017

SlovMedJour

View full text Add to dashboard Cite

show abstract

“…It occurs more frequently in females and predominantly affects the right coronal suture [8,9,14]. Individuals with UCS present with anterior plagiocephaly, an abnormal cranial morphology characterized by flattening of the ipsilateral forehead, protrusion of the contralateral forehead, and elevation of the eyebrow and superior orbital rim on the ipsilateral side [2,11].…”

Section: Introductionmentioning

confidence: 99%

The path of the superior sagittal sinus in unicoronal synostosis

et al. 2014

View full text Add to dashboard Cite

The SSS follows a predictable course relative to surface landmarks in children with unicoronal synostosis. When creating burr holes for craniotomies, the SSS can be avoided in 99.9 % of cases by remaining at least 14.4 mm from the lateral edge of the sagittal suture. Postoperative changes in the path of the SSS provide indirect evidence for normalization of regional brain morphology following fronto-orbital advancement.

show abstract

“…The parietal bone may sometimes be used as an alternative if it is better shaped to the bifrontal contour. 10,11,13 This surgical method requires elevation of the skull bones at the level of the forehead and, in some cases, more posteriorly, in close relationship with the superior sagittal sinus (SSS). The SSS courses in the midline beginning just behind the frontal bone and grows larger as it continues posteriorly along the shallow groove on the inner table of the cranium.…”

mentioning

confidence: 99%

Unilateral coronal synostosis: can we trust the sagittal suture as a landmark for the underlying superior sagittal sinus?

Protzenko¹,

Arnaud²,

Brunelle³

et al. 2016

PED

View full text Add to dashboard Cite

OBJECTIVE The sagittal suture is usually considered an external anatomical landmark, indicating the location of the superior sagittal sinus (SSS) for surgical approaches. Children with unilateral coronal synostosis (UCS) often present with an important deviation of the sagittal suture. Because these patients usually undergo frontal reconstruction or even endoscope-assisted minimally invasive procedures, it is imperative to know the location of the SSS. The aim of this investigation was to study the anatomical relationship between the SSS and the sagittal suture in children with anterior plagiocephaly. METHODS The authors retrospectively studied the relationship between the sagittal sinus and the sagittal suture at 5 points: nasion, midpoint nasion-bregma, bregma, midpoint bregma-lambda, and lambda. The study analyzed CT scans of 50 children with UCS admitted to the craniofacial unit of Necker Enfants Malades Hospital between March 2006 and March 2013 and compared them with 50 control children with no evidence of craniosynostosis, bone disease, or genetic syndromes. The authors also analyzed the presence of extracerebral fluid collection and ventricular asymmetry in children with UCS. RESULTS Fifty-six percent of patients had anterior right UCS and 44% had left-sided UCS. Type I UCS was seen in 1 patient, Type IIA in 20 patients, Type IIB in 20 patients, and Type III in 9 patients. The authors found that the nasion is usually deviated to the ipsilateral side of the synostosis, the bregma contralaterally, and the lambda ipsilaterally. The gap distances between the reference point and the SSS were 0–7.3 mm (mean 1.4 mm) at the nasion; 0–16.7 mm (mean 3.8 mm) at the midpoint nasion-bregma; 0–12 mm (mean 5.8 mm) at the bregma; 0–9.5 mm (mean 3 mm) at the midpoint bregma-lambda; and 0–11.6 mm (mean 5.5 mm) at the lambda. Conversely, a discrepancy of more than 1 mm between the SSS and the position of the suture was found only in 7 control cases (14%). Of patients with UCS, 38% presented with an extracerebral fluid collection contralateral to the fused coronal suture. Fifty-two percent had a ventricular asymmetry, which was characterized by reduced ventricular volume ipsilateral to the synostosis in all but 1 patient. CONCLUSIONS In this study, the SSS was usually deviated contralaterally to the closed coronal suture. It tended to be in the midline of the cranial vault and could be projected virtually along an imaginary line passing through the midline of the cranial base. The authors recommend a distance of 37 mm from the sagittal suture as a safety margin during surgery.

show abstract

Frontal–orbital advancement for the management of anterior plagiocephaly

Abstract: Frontal-orbital advancement is the preferred procedure to correct unicoronal synostosis due to its universal indication regardless of the age and degree of deformation of the anterior plagiocephaly.

Cited by 17 publications

References 19 publications

Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike

Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike

The path of the superior sagittal sinus in unicoronal synostosis

Unilateral coronal synostosis: can we trust the sagittal suture as a landmark for the underlying superior sagittal sinus?

Contact Info

Product

Resources

About