Department of Neurosurgery, Maria Fareri Children's Hospital, Westchester Medical Center.
New York Medical College.
J Craniofac Surg. 2023 May 1;34(3):e275-e277. doi: 10.1097/SCS.0000000000009233. Epub 2023 Mar 13.
Smaller operative exposures associated with suturectomy for craniosynostosis may result in difficulties visualizing the prematurely fused suture during surgery. The authors report cases of suturectomy for lambdoid and metopic craniosynostosis in which neuronavigation or frameless stereotaxy was used to assist with incision planning and intraoperative localization of the fused suture. In both cases, neuronavigation integrated easily and safely into established workflows and was associated with complete suture release. To our knowledge, this is the first report of applying this noninvasive technology, which does not require cranial pinning or rigid fixation, to suturectomy, and the authors demonstrate its use as an adjunct, especially for surgeons beginning in practice. Larger studies are needed to determine if neuronavigation in suturectomy is associated with a clinically significant reduction in blood loss or operative time or an increase in the rate of complete suturectomy.
与颅缝早闭的缝合切除术相关的较小手术暴露可能导致在手术过程中难以观察到过早融合的缝合线。作者报告了使用神经导航或无框架立体定向术辅助切口规划和术中融合缝合线定位的矢状缝和额缝颅缝早闭的缝合切除术病例。在这两种情况下，神经导航都很容易且安全地融入既定的工作流程，并与完全释放缝合线相关。据我们所知，这是首次将这种非侵入性技术应用于缝合切除术的报告，该技术不需要颅骨钉或刚性固定，作者展示了其作为辅助手段的用途，特别是对于刚开始执业的外科医生。需要更大的研究来确定在缝合切除术中使用神经导航是否与出血量或手术时间的临床显著减少或完全缝合切除率的增加相关。
