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Neurocranial suture autotransplantation and periosteal dura stripping to provide a passive growth site in craniosynostosis--a case report.

作者信息

Mommaerts Maurice Y, Staels Patrick F J

机构信息

Cleft Palate and Craniofacial Anomalies Team, General Hospital St. Jan, Bruges, Belgium.

出版信息

J Craniomaxillofac Surg. 2003 Aug;31(4):202-8. doi: 10.1016/s1010-5182(03)00055-6.

DOI:10.1016/s1010-5182(03)00055-6
PMID:12914704
Abstract

AIM

The behaviour of a neurocranial suture autograft in a plagiocephalic infant is described.

PATIENT AND METHODS

In a 7-month-old girl, born with right-sided unicoronal synostosis, part of the left-sided unicoronal suture was transplanted to the right-sided synostosectomy site. Also, in the pathological area, the periosteal 'layer' of the dura was surgically removed. The suture autotransplantation was integrated into the classical concept of radical remodelling, planned in a computer design environment. Growth of the suture was monitored by CT.

RESULTS

Suture patency and osseous growth within the autograft could be demonstrated over a 1-year period.

CONCLUSION

Neurocranial suture autotransplantation together with the prohibition of fusion-inducing dural signals seems to be a promising technique in the treatment of certain premature synostoses. This warrants a prospective clinical trial.

摘要

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