Piezosurgical Suturectomy and Sutural Distraction Osteogenesis for the Treatment of Unilateral Coronal Synostosis.
Different surgical procedures are used for the treatment of synostosis. Among them, suturectomy and sutural distraction osteogenesis (SDO) are suitable for young infant patients. In this report, we present the case of a young infant patient with a clear synostosis of the left coronal suture, which was treated by piezoelectric suturectomy combined with SDO and 2 internal distractors. One-year follow-up showed good results. Thirty-six months after surgery, normal skull growth and shape were observed by 3D computed tomographic examination. No infection, bleeding, fistula, and other complications were observed. The results suggested that the treatment of unilateral coronal synostosis in young infant patient by piezosurgical suturectomy and SDO is to be preferred because of its simplicity and relatively minimal invasiveness.
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Weiming
W
Shen
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Jie
J
Cui
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Jianbin
J
Chen
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Barbara
B
Buffoli
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Luigi Fabrizio
LF
Rodella
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Jijun
J
Zou
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Yi
Y
Ji
Department of Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China; and Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Haini
H
Chen