Document Detail

Radical osteoclastic craniectomy in sagittal synostosis.
MedLine Citation:
PMID:  2234355     Owner:  NLM     Status:  MEDLINE    
We report our experience in the surgical treatment of sagittal synostosis using radical osteoclastic craniectomy in 60 consecutive patients. After surgery in children aged 6 months or younger (Group I), reossification usually started 2 weeks postoperatively and was complete within 6 months, resulting in an optimal skull contour. In children aged 7 to 12 months (Group II), reossification was prolonged and lasted for 12 months or longer. The skull contour normalized in its biparietal width and improved in sagittal diameter, remaining, however, slightly abnormal. In children older than 12 months (Group III), the skull contour partly improved in the biparietal diameter but did not change in the sagittal direction. Reossification was incomplete with persistent pseudosutures. Enlarged frontal subarachnoid spaces were reversible or improved in all patients independent of age at the time of surgery. We encountered no complications in our series. In our opinion, radical osteoclastic craniectomy is the simplest, most efficient, and most physiologically sound method for the treatment of sagittal synostosis in patients up to 6 months of age. This procedure allows the rapidly growing brain to form its skull vault, thus providing optimal cosmetic results. In older children, osteoplastic morcellation procedures should be the treatment of choice.
W Hassler; J Zentner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  27     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1990-12-06     Completed Date:  1990-12-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  539-43     Citation Subset:  IM    
Department of Neurosurgery, University of Tübingen, Medical School, Federal Republic of Germany.
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MeSH Terms
Craniosynostoses / radiography,  surgery*
Craniotomy / methods*
Postoperative Period
Tomography, X-Ray Computed
Comment In:
Neurosurgery. 1991 Mar;28(3):482   [PMID:  2064646 ]

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