Article
Surgery
Michael Alperovich, Christopher M. Runyan, Kyle S. Gabrick, Robin T. Wu, Chelsea Morgan, Sydney E. Park, Leah A. Chapman, Daniel E. Couture, Lisa R. David, John A. Persing
Summary: A comparison study of long-term neurocognitive outcomes in patients with sagittal synostosis who underwent spring-assisted surgery or cranial vault remodeling showed that the latter group had higher intelligence quotient and visuomotor integration scores. However, there were no significant differences in academic achievement between the two groups. Further research is needed to identify factors contributing to cognitive outcome disparities.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Surgery
Andy N. Nguyen, Chad A. Purnell, Ezgi Mercan, Amy Lee, Craig B. Birgfeld, Srinivas M. Susarla, Richard G. Ellenbogen, Richard A. Hopper
Summary: This study aimed to quantify changes in cranial morphology in patients with nonsyndromic unilateral lambdoid craniosynostosis before and after surgery. The results showed that open posterior switch-cranioplasty can normalize cranial vault asymmetry index and remain stable at 2-year follow-up. However, skull base twist did not normalize completely, while facial twist approached normal. Technique improvement should focus on residual coronal asymmetry after cranial vault remodeling.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Physics, Multidisciplinary
Alicia Pose Diez de la Lastra, Lucia Garcia-Duarte Saenz, David Garcia-Mato, Luis Hernandez-Alvarez, Santiago Ochandiano, Javier Pascau
Summary: This study explores the application of deep learning techniques in open cranial vault remodeling surgeries, achieving real-time tool recognition and phase estimation. The results show significant differences in accuracy among the algorithms, with InceptionV3 and VGG16 performing best in phase detection.
Article
Clinical Neurology
Arvid Frostell, Maryam Haghighi, Jiri Bartek, Ulrika Sandvik, Bengt Gustavsson, Adrian Elmi-Terander, Erik Edstrom
Summary: This study evaluated the surgical treatment of isolated nonsyndromic sagittal synostosis using a modified subtotal cranial vault remodeling technique, showing that performing surgery at a younger age leads to a larger increase in long-term cranial index outcomes.
NEUROSURGICAL FOCUS
(2021)
Article
Neurosciences
Subhas Konar, Dhaval Shukla
Summary: For the treatment of BLSS, endoscopic third ventriculostomy and whole cranial vault remodeling surgery can significantly reduce ventricle volume and frontal bossing, achieving good results.
Article
Surgery
Sultan Al -Shaqsi, Jessica A. Ching, Christine B. Novak, Christopher R. Forrest
Summary: Posterior cranial vault distraction osteogenesis is an effective surgical procedure to increase intracranial volume and correct turricephaly in children with syndromic and non-syndromic craniosynostosis.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Surgery
Praveen Ganesh, Surya Rao Rao Venkata Mahipathy, Vivakaran Thanga Thirupathi Rajan, Narayanamurthy Sundaramurthy, Alagar Raja Durairaj, Anand Prasath Jayachandiran, Muralidhara Nagarjuna
Summary: This study evaluated the difference in surgical efficiency between VSP-based template guided ACVR surgery and traditional surgeries, showing a significant decrease in operating time and intra-operative blood loss in the VSP group.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
Article
Clinical Neurology
Alexander T. Wilson, Linda Gaillard, Sarah L. Versnel, Jochem K. H. Spoor, Marie-Lise C. Van Veelen, Irene M. J. Mathijssen
Summary: The study reports that spring-assisted cranial vault expansion (SAE) may result in less favorable outcomes in patients with Crouzon syndrome and sagittal suture synostosis compared to frontobiparietal (FBP) expansion, potentially due to issues such as concurrent intracranial hypertension and poor aesthetic results. Patients with Crouzon syndrome and sagittal synostosis who undergo SAE often require a revision FBP operation, leading the authors to consider Crouzon syndrome a contraindication for correcting SS with springs.
NEUROSURGICAL FOCUS
(2021)
Article
Surgery
Caitlyn C. Belza, Rishi N. Modi, George N. Kamel, Ryan M. McKee, Mary K. Carbullido, Erinn Kim, Amanda A. Gosman
Summary: There are multiple treatment options for unilateral lambdoid craniosynostosis (ULS) including open posterior cranial vault remodeling (OCVR) and distraction osteogenesis (DO). This study compared the perioperative characteristics of these interventions for patients with ULS. The results showed that there was no significant difference in estimated blood loss, surgical time, or transfusion requirements between OCVR and DO, but DO patients had a longer length of hospital stay. OCVR patients had a higher incidence of postoperative complications and the need for reoperation.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Surgery
Isabel Gonzalez Matheus, Yun Phua
Summary: This study investigated the effects of using a 3-dimensional printed biodegradable PCL mesh on bone healing in cranial vault surgery. The results showed persistent bony gaps where PCL mesh was placed, indicating that the use of PCL mesh alone did not enhance bone regeneration.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Surgery
Mark H. Moore, Sarut Chaisrisawadisuk, Vani Prasad, Stephen Santoreneos, Cindy J. Molloy
Summary: The management of sagittal craniosynostosis has evolved over the years to improve surgical techniques for optimizing head shape with minimal morbidity. A retrospective study identified an increased incidence of raised intracranial pressure (ICP) requiring secondary surgical intervention after cranial vault remodeling (CVR), particularly in patients who underwent primary surgery at a younger age. It was found that patients with isolated sagittal craniosynostosis who had primary surgery before 6 months of age were at a higher risk for secondary raised ICP, emphasizing the importance of long-term multidisciplinary follow-up protocols.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
Article
Surgery
Sarut Chaisrisawadisuk, Peter J. Anderson, Mark H. Moore
Summary: Craniosynostosis is a condition where cranial sutures fuse early, with sagittal suture synostosis being the most prevalent. Various techniques, from simple suture excision to wide suturectomy, have been developed for treatment. While repeated fusion of previously excised sutures is common, recent reports have identified the formation of new sutures after surgery.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
Article
Clinical Neurology
V. Tcherbbis Testa, S. Jaimovich, R. Arganaraz, B. Mantese
Summary: Understanding the mechanisms of increased intracranial pressure and the role of cerebrospinal fluid is crucial in managing pediatric patients with syndromic craniosynostosis. Among 33 patients requiring craniofacial surgery, more than half developed ventriculomegaly and nearly 40% needed ventriculoperitoneal shunt placement.
ACTA NEUROCHIRURGICA
(2021)
Review
Surgery
George N. Kamel, Alvin Wong, Rachel M. Segal, Mary Kristine Carbulido, Michael Hornacek, Emily Ewing, Samuel H. Lance, Amanda A. Gosman
Summary: This study compared perioperative complications and reoperation trends in FOAR versus DO techniques for patients with unilateral coronal craniosynostosis. Patients who underwent DO had longer surgery time, while those undergoing FOAR had higher reoperation rates.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
Article
Surgery
Stephen M. Lu, Kenneth Pessino, Rachel L. Gray, Shaun D. Rodgers, Steven J. Schneider, Nicholas Bastidas
Summary: The study demonstrates the effectiveness of using virtual surgical planning and computer-aided design/computer-aided manufacturing in cranial vault reconstruction, improving aesthetic outcomes and minimizing the risk of complications.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
