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Surgical correction of scaphocephaly: experiences with a new procedure and follow-up investigations.
J Craniomaxillofac Surg. 2001 Feb; 29(1):33-8.JC

Abstract

INTRODUCTION

Simple resection of the sagittal suture and the use of alloplastic material or extensive skull resections have long been proven to be unsatisfactory in the treatment of sagittal synostosis. In contrast to these experiences, the immediate correction of skull shape seems to yield the best results without significant morbidity.

PATIENTS

Thirty-six scaphocephalic infants with an average age of 6.5 (3.5-14) months underwent operation by our craniofacial team since 1994.

METHODS

Wide resection of the sagittal suture was used in combination with a bone-strip resection along the coronal and lambdoid sutures. Occasionally partial resection and reshaping of the frontal or occipital bone was necessary to correct an extremely bulging skull. The cranial growth and shape was monitored by anthropometric skull measurements in the last 20 patients.

RESULTS

Except in two cases, in which the dura mater was minimally injured intraoperatively, no complications occurred in any patient. Craniofacial oedema always occurred but disappeared after 72 h. The immediate correction of the skull shape was successful in all cases and was completed within 6 months postoperatively. There was no iatrogenic bone defect one year after surgery. Postoperative skull shape and growth was normal.

CONCLUSION

These procedures seem to be effective in the treatment of scaphocephalus. Further normalization of skull shape is achieved by unrestricted postoperative brain growth.

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Authors+Show Affiliations

Christophis P
Department of Neurosurgery, Medical School, Justus Liebig-University Giessen, Germany. petros.christophis@neuro.med.uni-giessen.de
Jünger TH
No affiliation info available
Howaldt HP
No affiliation info available

MeSH

CephalometryCranial SuturesCraniosynostosesCraniotomyDissectionDura MaterEdemaFemaleFollow-Up StudiesFrontal BoneHumansIatrogenic DiseaseInfantIntraoperative ComplicationsMaleOccipital BoneParietal BonePeriosteumPostoperative ComplicationsSkullTemporal BoneTime Factors

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11467492

Citation

Christophis, P, et al. "Surgical Correction of Scaphocephaly: Experiences With a New Procedure and Follow-up Investigations." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 29, no. 1, 2001, pp. 33-8.
Christophis P, Jünger TH, Howaldt HP. Surgical correction of scaphocephaly: experiences with a new procedure and follow-up investigations. J Craniomaxillofac Surg. 2001;29(1):33-8.
Christophis, P., Jünger, T. H., & Howaldt, H. P. (2001). Surgical correction of scaphocephaly: experiences with a new procedure and follow-up investigations. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 29(1), 33-8.
Christophis P, Jünger TH, Howaldt HP. Surgical Correction of Scaphocephaly: Experiences With a New Procedure and Follow-up Investigations. J Craniomaxillofac Surg. 2001;29(1):33-8. PubMed PMID: 11467492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical correction of scaphocephaly: experiences with a new procedure and follow-up investigations. AU - Christophis,P, AU - Jünger,T H, AU - Howaldt,H P, PY - 2001/7/27/pubmed PY - 2001/10/5/medline PY - 2001/7/27/entrez SP - 33 EP - 8 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 29 IS - 1 N2 - INTRODUCTION: Simple resection of the sagittal suture and the use of alloplastic material or extensive skull resections have long been proven to be unsatisfactory in the treatment of sagittal synostosis. In contrast to these experiences, the immediate correction of skull shape seems to yield the best results without significant morbidity. PATIENTS: Thirty-six scaphocephalic infants with an average age of 6.5 (3.5-14) months underwent operation by our craniofacial team since 1994. METHODS: Wide resection of the sagittal suture was used in combination with a bone-strip resection along the coronal and lambdoid sutures. Occasionally partial resection and reshaping of the frontal or occipital bone was necessary to correct an extremely bulging skull. The cranial growth and shape was monitored by anthropometric skull measurements in the last 20 patients. RESULTS: Except in two cases, in which the dura mater was minimally injured intraoperatively, no complications occurred in any patient. Craniofacial oedema always occurred but disappeared after 72 h. The immediate correction of the skull shape was successful in all cases and was completed within 6 months postoperatively. There was no iatrogenic bone defect one year after surgery. Postoperative skull shape and growth was normal. CONCLUSION: These procedures seem to be effective in the treatment of scaphocephalus. Further normalization of skull shape is achieved by unrestricted postoperative brain growth. SN - 1010-5182 UR - https://www.unboundmedicine.com/medline/citation/11467492/Surgical_correction_of_scaphocephaly:_experiences_with_a_new_procedure_and_follow_up_investigations_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(00)90182-3 DB - PRIME DP - Unbound Medicine ER -