Posterior Cranial Distraction in Craniosynostosis: A Systematic Review of the Literature

Khansa, Ibrahim; Drapeau, Annie; Pearson, Gregory

doi:10.1177/10556656231168548

Cited by 3 publications

(2 citation statements)

References 40 publications

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“…Complications related to the distraction process itself may appear (30)(31)(32)(33). Pterygomaxillary disjunction and midline skull base (the perpendicular lamina and vomer) are two main surgical steps in craniofacial advancement.…”

Section: Discussionmentioning

confidence: 99%

Twenty Year review for Craniofacial Distraction in syndromic craniosynostosis

De Oliveira,

Ballestero,

Marques-Netto

et al. 2023

Arch Pediat Neurosurg

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Introduction: Craniosynostosis are cranial deformities resulting from the early closure of one or more sutures. Concomitant facial changes usually result from the involvement of multiple sutures, which may lead to restriction of cranial growth and brain expansion, ocular compression, and breathing difficulties. The distraction osteogenesis (DO)for frontofacial or posterior advancement have increased the safety of the procedure. The aim of this study was a critical evaluation of the use of DO in the surgical treatment of syndromic craniosynostoses, based on the experience of a single craniofacial team. Methods: Retrospective review of third six patients operated from 2003 to 2022 by the same craniofacial team. Results: 19 boys and 17 girls were operated, all with rigid distractors. Twenty-nine of them underwent monobloc frontofacial advancement. In seven patient a Le-Fort III/subcranial advancement was performed. A posterior craniofacial advancement was performed in 5. In 11 a fronto-orbital advancement was done in the first year of life. The mean age was 6.0 years (range, 6 months to 13 years). All patients presented with some degree of exorbitism, upper airway obstruction and signs of intracranial hypertension. Cerebrospinal fluid leakage was the most frequent complication (9 cases), pterygomaxillary disjunction was revised in 8, lateral rim orbital fracture in 3 cases, and 3 complication related to the device. Conclusions: The evolution of surgical techniques allowed DO with rigid distractors to be an important tool for treating the craniofacial issues related to syndromic craniosynostoses. The multidisciplinary team's learning curve is critical to reducing complications associated with osteogenic distraction.

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Section: Discussionmentioning

confidence: 99%

Twenty Year review for Craniofacial Distraction in syndromic craniosynostosis

De Oliveira,

Ballestero,

Marques-Netto

et al. 2023

Arch Pediat Neurosurg

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“…Moreover, surgical treatment is required to prevent or fix the complications that occur because of the craniosynostosis [14]. Surgical technique such as posterior cranial distraction (PSD) is a convincing treatment for syndromic craniosynostosis patients [15].…”

Section: Introductionmentioning

confidence: 99%

Abnormalities Detection in Apert Syndrome using Hierarchical Clustering Algorithms

Nur Syahirah Zulkipli,

Siti Zanariah Satari,

Wan Nur Syahidah Wan Yusoff

2024

ARASET

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Craniosynostosis syndrome is a congenital condition occurring due to the abnormal development of the skull, leading to abnormalities in skull morphology. Apert syndrome is one of common craniosynostosis syndrome in Malaysia and this syndrome can be categorized as the severe craniofacial disorders. The abnormalities of skull morphological in Apert syndrome patient can be identified as outliers which are investigated in this study. This study presents a skull morphological analysis based on a case study involving six paediatric patients diagnosed with Apert syndrome, alongside 22 control patients aged 0 to 12 years, all of whom underwent treatment at the University Malaya Medical Centre (UMMC). The computerized tomography scan (CTSCAN) data is provided by UMMC recorded from year 2012 until 2020 and the data is measured using MIMICS software by taking the measurement of cranial angles. The clustering-based procedures will be applied to identify the abnormalities in skull angle dataset. There are 12 skull angles and these angles are analysed using hierarchical clustering algorithms for identifying the outliers or abnormalities. The objective is to detect the abnormalities and determine the skull angles that associated with Apert syndrome (AS) in Malaysia population using clustering-based procedure. The abnormalities in Apert syndrome datasets are successfully detected by the algorithms and this study found that there are skull angles with specific location of angles are associated with Apert syndrome. This study also found that the location of skull angles for patients age 0-24 months old and >24 months old are different. The findings of this study can assist the surgical team in directing additional focus towards specific regions of the skull during the planning of interventions. This guidance has the potential to optimize surgical outcomes and reduce the risk of potential complications.

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