Title :

Linear craniectomy for early posterior decompression in craniosynostoses: technique and results

Author(s) :

Vinchon, Matthieu [Auteur]
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Guerreschi, Pierre [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Karnoub, Melodie-Anne [Auteur]
Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192
Wolber, Alexis [Auteur]

Journal title :

Child's nervous system . ChNS . official journal of the International Society for Pediatric Neurosurgery

Abbreviated title :

Childs Nerv Syst

Publication date :

2021-03-13

ISSN :

1433-0350

Keyword(s) :

Outcome
Lambdoid synostosis
Cloverleaf skull
Surgical technique
Complications

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Early decompressive posterior linear craniectomy (PLC) can be indicated in very young infants with complex multisuture synostosis, which often involve the lambdoid suture (LS). The literature data on the surgical technique ...
Show more >Early decompressive posterior linear craniectomy (PLC) can be indicated in very young infants with complex multisuture synostosis, which often involve the lambdoid suture (LS). The literature data on the surgical technique and its results are scarce. Based on our experience with PLC during the last 10 years, we detail our surgical technique for PLC, the possible pitfalls, and complication avoidance. We review seven observations, 5 girls and 2 boys, 6 of these with identified mutations, operated for PLC at a mean age of 3.19 months (6 days to 6.1 months). One patient died of unexplained cardiac arrest on postoperative day two, the others had a favorable outcome with good development and no visual loss. Three of these required additional cranioplasty at a later age, one of these with craniofacial distraction. PLC can be a salvage operation in very young patients with complex synostosis involving the LS, and with proper preparation and careful technique, allows favorable outcome. The approach must be versatile in order to anticipate further surgeries in these complex, most often syndromic cases.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Advanced Drug Delivery Systems (ADDS) - U1008
• Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364

Research team(s) :

U1008

Submission date :

2022-04-13T07:12:09Z