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
Michal Brichacek, Oleh Antonyshyn, Glenn Edwards, James G. Mainprize, Leo da Costa
Summary: This article provides an algorithm for the reconstruction of cranial defects, discussing both autologous and alloplastic techniques and comparing their advantages and disadvantages in various clinical scenarios. Successful outcome of cranial vault reconstruction depends on factors such as cause, location, size of the defect, soft-tissue coverage, presence of infection, and radiation therapy.
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
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
Shih-Shan Lang, Petra M. Meier, William Z. Paden, Phillip B. Storm, Gregory G. Heuer, Scott P. Bartlett, Jesse A. Taylor, Jordan W. Swanson, John G. Meara, Mark Proctor, Oluwatimilehin Okunowo, Paul A. Stricker
Summary: In this multicenter study comparing ESC and SMC for sagittal craniosynostosis in early infancy, similar transfusion-free hospital courses were found, but SMC infants had longer ICU LOSs and HLOSs. Further trials comparing longer-term outcomes between SMC and ESC are needed to better understand their roles in managing sagittal craniosynostosis.
JOURNAL OF NEUROSURGERY-PEDIATRICS
(2021)
Article
Clinical Neurology
Pierre-Aurelien Beuriat, Alexandru Szathmari, Julie Chauvel-Picard, Arnaud Gleizal, Christian Paulus, Carmine Mottolese, Federico Di Rocco
Summary: This study revealed the formation of neosutures in the area of coronal and lambdoid sutures following total vault remodeling in patients with sagittal craniosynostosis. The reappearance of neosutures is common, indicating potential genetic and functional differences among cranial sutures.
NEUROSURGICAL FOCUS
(2021)
Article
Surgery
Benjamin B. Massenburg, Ezgi Mercan, Elizabeth Shepard, Craig B. Birgfeld, Srinivas M. Susarla, Amy Lee, Richard G. Ellenbogen, Richard A. Hopper
Summary: This study quantified the change in three-dimensional skull morphometrics for patients with sagittal synostosis at different time points. The results showed that certain cranial volume and shape parameters were not changed by surgery but normalized without surgical intervention by 2 years. Other parameters were corrected after surgery and maintained at 2 years. Linear models suggested that older age at surgery resulted in certain deformities and enlarged cranial vault volumes at 2 years. Preoperative severity was found to be the best predictor of 2-year morphometric outcomes.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
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
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
Laura I. Galarza, Jessica N. Tran, Ian C. Hoppe
Summary: This case report presents a patient with unilateral sagittal and unilateral lambdoid craniosynostosis, treated safely with simultaneous spring-mediated cranioplasty and distraction osteogenesis.
JOURNAL OF CRANIOFACIAL SURGERY
(2022)
Review
Cell Biology
Xiaolei Zhao, Shannon Erhardt, Kihan Sung, Jun Wang
Summary: Suture mesenchymal stem cells (SMSCs) are heterogeneous stem cells that can self-renew and differentiate into various cell lineages. The cranial suture acts as a niche for SMSCs, allowing for cranial bone repair and growth during craniofacial development. Defects in suture development have been linked to congenital diseases, but the signaling pathways involved in suture and SMSC function remain largely unknown.
FRONTIERS IN CELL AND DEVELOPMENTAL BIOLOGY
(2023)
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)
