T-bone plastique for treatment of brachy-turricephaly.
The "T-Bone Plastique", which is presented in this paper, allows a surgical correction even of extreme cases of brachy-turricephaly together with malformations of the occipital region in one operative session. Brachy-turricephaly is characterized by abnormal vertical height of the skull and a shortening of its anterior-posterior length, frequently combined with malformations of the occipital region. Resection of the prematurely closed coronal suture, bi-parietal trepanations with 90 degrees rotation and side-exchange of the parietal bone flaps, double transverse trepanation of the occipital bone and outward bending and shifting of the bone fragments enable a bony remodeling and normalization of the deformed skull. Using this operative technique in three children we achieved a significant improvement of the skull form with an aesthetically pleasing result, without any neurologic sequelae and with normal development of the children during follow-up.
Donauer
E
E
Department of Neurosurgery, Saarland University Medical School, Homburg/Saar, Federal Republic of Germany.
Bernardy
M
M
Neuenfeldt
D
D
D002508:Cephalometry; D002675:Child, Preschool; D003398:Craniosynostoses / Q000175:diagnosis / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D009777:Occipital Bone / Q000002:abnormalities / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis; D014057:Tomography, X-Ray Computed