Treatment of Sagittal Craniosynostosis Using Osteoplastic Parietal Craniotomy Flap With Distraction Osteogenesis: A Variation on Technique

被引:0
作者
Habarth-Morales, Theodore E. [1 ,3 ]
Piatt, Joseph H. [2 ]
Caterson, Edward J. [3 ]
机构
[1] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA
[2] Nemours Childrens Hlth, Dept Surg, Div Neurosurg, Wilmington, DE USA
[3] Nemours Childrens Hlth, Dept Surg, Div Plast Surg, Wilmington, DE USA
关键词
Biparietal craniotomy; distraction osteogenesis; sagittal craniosynostosis; temporalis muscle; SURGICAL-CORRECTION; SYNOSTOSIS;
D O I
10.1097/SCS.0000000000008396
中图分类号
R61 [外科手术学];
学科分类号
摘要
Late presentation sagittal craniosynostosis presents a unique challenge due to the decreased ability of the skull to repair the bony defects created by standard of care techniques. Distraction osteogenesis is a viable strategy to correct this defect in late presenting cases. The authors describe a variation in technique in which the temporalis muscle origin is retained, creating an osteoplastic bone flap with retained vascularity through the tem-poralis muscle. This may improve postoperative bony healing of bony defects in this compromised population. The authors present two patients who presented to them late with sagittal synostosis who were treated with distraction osteogenesis in which vascular continuity to the parietal bones is preserved through the temporalis muscle.
引用
收藏
页码:E491 / E493
页数:3
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