Prevention of halo pin complications in post-cranioplasty patients

Meulen, Jacques van der; Wolvius, Eppo B.; Wal, K. van der; Prahl, B; Vaandrager, M.

doi:10.1016/j.jcms.2004.12.002

Cited by 20 publications

(8 citation statements)

References 31 publications

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“…Device failure has been observed 5 , but most complications are seen in relation to the external frame fixed to the skull. Minor complications such as skin irritation, sensitivity and pain surrounding the skull pins have been reported 5 and are supported by the present findings, but also more severe complications such as meningitis resulting from intracranial pin migration may occur 21 . Additionally, dental compensation may be introduced when the traction force is delivered through a tooth-borne intraoral splint consequently reducing the amount of skeletal correction 20 .…”

Section: Discussionsupporting

confidence: 89%

Patient satisfaction related to rigid external distraction osteogenesis

Eggermont

Jansma

Bierman

et al. 2007

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 89%

Patient satisfaction related to rigid external distraction osteogenesis

Eggermont

Jansma

Bierman

et al. 2007

International Journal of Oral and Maxillofacial Surgery

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“…Furthermore, in syndromic craniosynostosis, the altered calvarial anatomy may lose its distinction between an inner and outer cortex because of prolonged elevated intracranial pressure. 16 Although the specific skull thickness of patients with syndromic craniosynostosis has not been investigated, the preoperative CT scan indicated that patients with syndromic craniosynostosis have extremely thin skulls.…”

Section: Discussionmentioning

confidence: 99%

An Auxiliary Cranioparietal Anchorage System to Improve the Stability of the Rigid External Distraction Device in Children With Crouzon Syndrome

Liu

Tong

Wang

et al. 2022

Journal of Craniofacial Surgery

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: Rigid external distraction (RED) device instability because of thin skulls in syndromic craniosynostosis patients remains challenging. The authors propose the use of an auxiliary cranioparietal anchorage system to improve RED device stability in patients with Crouzon syndrome. Five consecutive patients with Crouzon syndrome underwent Le Fort III osteotomy with midface advancement using a modified external device. Cephalometric analysis and three-dimensional computed tomography images were evaluated preoperatively and after device removal. Mechanical analyses of the RED device with and without the auxiliary cranioparietal anchorage system were performed. Both postoperative photographs and follow-up computed tomographs showed obvious midfacial advancement with no intracranial pin perforation or external frame migration. Mechanical analysis showed that the new system reduced the possibility of postoperative external frame migration. The auxiliary cranioparietal anchorage system might be considered an adjunct to the RED device in patients with Crouzon syndrome to avoid postoperative complications.

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“…A review of the current literature of this journal produced only 1 case report and 1 oral presentation pertaining to complications with the Le Fort III osteotomy, both reporting only halo-pin related complications ( Van der Meulen et al, 2005;Spinelli et al, 2006). We present the case of a 10-year-old girl with Apert syndrome, in which a Le Fort III osteotomy with the placing of internal and external distraction devices was complicated by fatal intracranial oedema as a result of internal carotid artery dissection.…”

Section: Introductionmentioning

confidence: 99%