Expansion and compression distraction osteogenesis based on volumetric and neurodevelopmental analysis in sagittal craniosynostosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-08-01

AUTHORS

Myung Chul Lee, Kyu Won Shim, Eun Kyung Park, In Sik Yun, Dong Seok Kim, Yong Oock Kim

ABSTRACT

PurposeDistraction osteogenesis (DO) is a less daunting procedure than extensive cranial vault remodeling and has been used to correct sagittal craniosynostosis. The purposes of this study are to describe DO in combination with expansion and compression procedures and to report analytic results based on the cranial index (CI), volumetric measurement, and neurodevelopmental tests.MethodsBetween June 2002 and May 2013, 32 patients with non-syndromic sagittal synostosis who had undergone antero-posterior compression with bitemporal expansion were recruited. Circumferential baseline, mid-sagittal, and bicoronal craniotomies were performed in addition to four-quadrant bone flap procedures via distraction with dural attachment. CI, intracranial volume (ICV), head circumference (HC), and neurodevelopmental outcomes using the Bayley Scales of Infant Development-II (BSID-II) scoring system were analyzed.ResultsDolichocephalic CI (68.85 ± 3.61) was altered to mesocephalic CI (78.28 ± 3.74) postoperatively. Preoperative ICV and HC determinations were within the normal range for the majority of participants (normal ICV 87.5 %, n = 28; normal HC 75 %, n = 24). ICV and HC did not show significant changes with postoperative measurements and were maintained within normal ranges. Regarding neurodevelopment, both the mental and psychomotor developmental indices (MDI, PDI) demonstrated significant improvement (MDI, 88.69 ± 17.38 to 96.23 ± 21.05; PDI, 91.38 ± 16.31 to 100 ± 11.51; p < 0.05).ConclusionsSymmetric sagittal synostosis can be treated comprehensively through DO in combination with expansion and compression procedures. ICV and HC measurements were useful for designing surgical and postoperative distraction strategies. Achievement of mesocephalic CI and neurodevelopmental improvement validated morphological and functional effectiveness. More... »

PAGES

2081-2089

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00381-015-2843-y

DOI

http://dx.doi.org/10.1007/s00381-015-2843-y

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https://app.dimensions.ai/details/publication/pub.1047239310

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26231567


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