Neurocranial suture autotransplantation and periosteal dura stripping to provide a passive growth site in craniosynostosis--a case report.
OBJECTIVE
The behaviour of a neurocranial suture autograft in a plagiocephalic infant is described.


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.


CONCLUSIONS
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.
Mommaerts
Maurice Y
MY
Cleft Palate and Craniofacial Anomalies Team, General Hospital St. Jan, Bruges, Belgium. maurice.mommaerts@azbrugge.be
Staels
Patrick F J
PF
D016025:Bone Transplantation; D017076:Computer-Aided Design; D003393:Cranial Sutures / Q000637:transplantation*; D003398:Craniosynostoses / Q000601:surgery*; D004388:Dura Mater / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007223:Infant; D010294:Parietal Bone / Q000002:abnormalities / Q000601:surgery*; D010347:Patient Care Planning; D010521:Periosteum / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous