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- Title
Mini-invasive surgical technique for sagittal craniosynostosis.
- Authors
Massimi, Luca; Rocco, Concezio
- Abstract
Introduction: Several techniques are currently available for the surgical correction of sagittal craniosynostosis. The most recently introduced ones have been specifically designed to perform a mini-invasive approach in order to reduce the postoperative morbidity. Herein, the surgical steps of a personal, mini-invasive technique used to decrease the impact of the surgical scar are described. Surgical technique: The traditional biparietal skull expansion is realized through two to six short skin linear incisions (2-3 cm long) strategically scattered over the scalp, which allow the surgeon to perform a wide sagittal synostectomy, linear craniectomies along the coronal and lambdoid sutures, and barrel stave osteotomies on the frontal and occipital bones, if needed. No special instruments or postoperative molding therapy is required. Discussion: The main advantages of this technique are the poor visibility of the surgical scar, the reduction of the perioperative morbidity (blood transfusion, orbital edema, subcutaneous fluid collection), and the shortening of surgical times and postoperative hospitalization. The main limits are represented by the minor correction of the frontal bossing and the old age of children at surgery (no optimal results after 10-12 months of age).
- Subjects
SAGITTAL curve; CRANIOSYNOSTOSES; SKULL surgery complications; OSTEOTOMY; OCCIPITAL bone; FRONTAL bone; SCARS
- Publication
Child's Nervous System, 2012, Vol 28, Issue 9, p1341
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-012-1799-4