Unicoronal synostotic plagiocephaly: surgical correction: Lille's technique

Pellerin, P.; Calibre, C.; Vinchon, Matthieu; Dhellemmes, P; Wolber, Alexis; Guerreschi, P.

doi:10.1007/s00381-012-1793-x

Cited by 10 publications

(4 citation statements)

References 5 publications

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“…Jeyaraj modified the technique of “bilateral frontal-unilateral orbital advancement” spares osteotomy of the contralateral unaffected orbit. [ 17 ] Pellerin et al [ 18 ] have suggested asymmetrical harvesting of the frontoorbital bandeau. The bandeau bone cut in the lateral orbital rim is extended to the frontozygomatic suture on the synostotic side and is shorter on the unaffected side.…”

Section: Nitial E Valuationmentioning

confidence: 99%

Evaluation and Management of Nonsyndromic Craniosynostosis

Gupta

Marbate

Kedia

2022

Journal of Pediatric Neurosciences

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A BSTRACT Nonsyndromic craniosynostosis (NSC) is more common than syndromic craniosynostosis and predominantly involves single suture. It affects sagittal, coronal, metopic, and lambdoid sutures in the decreasing order of frequency. A surgery for NSC is generally recommended to avoid potential neurodevelopmental delays and sequelae of raised intracranial pressure. Open calvarial vault reconstruction, strip craniectomy with/without the use of a postoperative molding helmet, strip craniectomy with spring implantations, endoscopic suture release, and cranial distraction osteogenesis are various surgical options used for NSC cases. The ideal age for intervention is 6–12 months for open procedures and 3–4 months for endoscopic approaches. The management is directed toward minimizing operative trauma and improving the neurocognitive outcome. The role of nonsurgical intervention by the use of genetic manipulation is still not a reality because of the nature of disease and time of presentation.

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Section: Nitial E Valuationmentioning

confidence: 99%

Evaluation and Management of Nonsyndromic Craniosynostosis

Gupta

Marbate

Kedia

2022

Journal of Pediatric Neurosciences

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“…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

“…Rekonstrukcija čel-nega segmenta je prav tako asimetrič-na in se oblikuje v obliki črke Z. Avtor poudarja pomen hiperkorekcije na oboleli, plagiocefalični strani, tako da se tu frontoorbitalni bandeau pričvrsti nekaj milimetrov bolj anteriorno od nasprotne strani. Tako se zmanjša že omenjena možnost ponovitve in temporalne zoži-tve (12).…”

Section: Razpravljanjeunclassified

Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike

Spazzapan¹,

Bošnjak²,

Velnar³

et al. 2017

SlovMedJour

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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,

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“…Fronto-orbital advancement is the primary surgical intervention for the treatment of anterior plagiocephaly. It is an open procedure that involves unilateral or bilateral advancement of the fronto-orbital bandeau, a horizontal strip of bone encompassing the superior rim of both orbits [5,11,12]. In order to obtain surgical access for this procedure, a frontal craniotomy is performed.…”

Section: Introductionmentioning

confidence: 99%

The path of the superior sagittal sinus in unicoronal synostosis

et al. 2014

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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.

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Unicoronal synostotic plagiocephaly: surgical correction: Lille's technique

Abstract: Preliminary results in 27 cases operated according to this procedure, for which we have pre- and post-CT scan demonstrate significative improvements of our results.

Cited by 10 publications

References 5 publications

Evaluation and Management of Nonsyndromic Craniosynostosis

Evaluation and Management of Nonsyndromic Craniosynostosis

Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike

The path of the superior sagittal sinus in unicoronal synostosis

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