title: Posterior Cranial Vault Distraction Osteogenesis with Barrel Stave Osteotomy in the Treatment of Craniosynostosis.
abstract: Twenty years have passed since distraction osteogenesis was introduced into the field of craniomaxillofacial surgery, with distraction osteogenesis gradually consolidating its position for midface advancement in syndromic craniosynostosis. On the other hand, no consensus has been reached regarding its adaptation to calvarial bone. We reported that distraction osteogenesis was useful in posterior cranial vault expansion, and subsequently, similar reports have been successively observed worldwide. In posterior cranial vault distraction, intracranial capacity could be greatly expanded due to its simultaneous expansion with the scalp, with little risk of relapse because new bone is regenerated in the distraction gap. The possibility was suggested that the standard of first carrying out fronto-orbital advancement (FOA) for brachycephaly observed in syndromic craniosynostosis will greatly change posterior cranial vault distraction.
authors.affiliation: Department of Plastic Surgery, Juntendo University Urayasu Hospital.
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Komuro
authors.forename: Azusa
authors.initials: A
authors.lastname: Shimizu
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Shimoji
authors.forename: Masakazu
authors.initials: M
authors.lastname: Miyajima
authors.forename: Hajime
authors.initials: H
authors.lastname: Arai
mesh_terms: D003398:Craniosynostoses / Q000601:surgery*; D006801:Humans; D019857:Osteogenesis, Distraction / Q000295:instrumentation; D010027:Osteotomy; D012008:Recurrence; D012307:Risk Factors