Correction of posterior sagittal craniosynostosis.
Craniosynostosis involving the posterior sagittal suture results in a characteristic skull deformity known as bathrocephaly. Surgical correction of this deformity using the reverse pi procedure has yielded inconsistent results. We present a new method for expanding the transverse posterior skull while simultaneously reducing the longitudinal dimension. An absorbable microplate-reinforced bone strut is used as a framework on which the remainder of the skull is reconfigured; its stability prevents relapse. The posterior skull squeeze is produced using absorbable mesh plates. Use of rigid fixation is limited to absorbable hardware in the growing craniofacial skeleton.
Lin
K Y
KY
Department of Plastic Surgery, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Gampper
T J
TJ
Jane
J A
JA
D001672:Biocompatible Materials; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods; D003393:Cranial Sutures / Q000002:abnormalities / Q000601:surgery*; D003398:Craniosynostoses / Q000601:surgery*; D003399:Craniotomy / Q000379:methods; D006801:Humans; D007223:Infant; D010027:Osteotomy; D013524:Surgical Flaps; D013536:Suture Techniques
D001672:Biocompatible Materials