McGahan Ben G, Dhaliwal Joravar, Pearson Gregory D, Khansa Ibrahim, Drapeau Annie I
Department of Neurosurgery, The Ohio State Wexner Medical Center, Columbus, Ohio, USA.
Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA.
Oper Neurosurg (Hagerstown). 2021 May 13;20(6):529-534. doi: 10.1093/ons/opab006.
Minimal invasive suturectomy is one of the many surgical approaches to treat isolated single suture craniosynostosis. This approach can be technically challenging in metopic craniosynostosis given the narrow corridor and steep angle of the forehead. New instruments such as the Piezosurgery device (Mectron) have the potential to improve the ability to safely perform minimal invasive surgery in metopic craniosynostosis.
To demonstrate the safety and efficacy of Piezosurgery technology in minimal invasive suturectomy for nonsyndromic metopic suture craniosynostosis and to describe our technique.
A retrospective chart review was performed of all the single metopic suturectomies performed at our single institution from March 2018 to November 2019. Pre-, intra-, and postoperative data were collected to assess the safety of Piezosurgery.
The cohort consisted of 12 patients with an average of 95.25 d old and an average weight of 6.2 kg. A total of 91.7% were male, and 91.7% were Caucasian. There were no intraoperative or postoperative Piezosurgery device-related complications in the entire cohort.
The use of the Piezosurgery instrument was safe in this cohort of minimal invasive metopic suturectomy. This device has greatly increased the ease of this procedure in our hands.
微创缝扎切除术是治疗孤立性单缝颅缝早闭的众多手术方法之一。鉴于额部狭窄的通道和陡峭的角度，这种方法在额缝颅缝早闭的手术中在技术上具有挑战性。诸如超声骨刀设备（Mectron）等新型器械有可能提高在额缝颅缝早闭中安全进行微创手术的能力。
证明超声骨刀技术在非综合征性额缝颅缝早闭的微创缝扎切除术中的安全性和有效性，并描述我们的技术。
对2018年3月至2019年11月在我们单一机构进行的所有单额缝切除手术进行回顾性病历审查。收集术前、术中和术后数据以评估超声骨刀的安全性。
该队列包括12名患者，平均年龄95.25天，平均体重6.2千克。91.7%为男性，91.7%为白种人。整个队列中没有与超声骨刀设备相关的术中或术后并发症。
在这个微创额缝切除队列中使用超声骨刀器械是安全的。该设备极大地提高了我们进行此手术的便利性。
