Document Detail


Posterior calvarial vault expansion using distraction osteogenesis.
MedLine Citation:
PMID:  19057909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Management of raised intracranial pressure in syndromic multi-suture craniosynostosis by cranial vault expansion can be achieved by a number of techniques. We present our initial experience in treating this group of patients with posterior calvarial distraction. MATERIALS AND METHODS: Six patients underwent distraction osteogenesis of their posterior calvarial vault. RESULTS: The mean period of distraction was 28 days. The mean consolidation period was 49 days. The mean distance of advancement was 24 mm. Five out of six patients completed their period of distraction and three of these cases also completed their period of consolidation. Significant calvarial expansion and improvement of head shape was achieved in all cases. CONCLUSIONS: Posterior calvarial distraction is a safe and more efficient method of calvarial expansion than conventional techniques. These are early promising results, and future modification of the distraction devices will be needed if the effective consolidation time is to be increased.
Authors:
Nicholas White; Martin Evans; M Stephen Dover; Peter Noons; Guirish Solanki; Hiroshi Nishikawa
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-12-05
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  25     ISSN:  1433-0350     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2008-12-17     Completed Date:  2009-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  231-6     Citation Subset:  IM    
Affiliation:
Department of Craniofacial Surgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK. nicholas.white@bch.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Craniosynostoses / classification,  pathology,  surgery*
Female
Humans
Infant
Magnetic Resonance Imaging / methods
Male
Osteogenesis, Distraction / adverse effects,  instrumentation,  methods*
Reconstructive Surgical Procedures / methods*
Skull / surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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