CRANIAL RECONSTRUCTION ON CRANIOSYNOSTOSIS: 10 YEARS EXPERIENCE AT HIJG

Authors

  • Luis Gustavo Ferreira da Silva Serviço de Cirurgia Plástica e Queimados HU/UFSC
  • Melina Bertolli Moré Hospital Infantil Joana de Gusmão
  • Charles Kondageski Hospital Infantil Joana de Gusmão
  • João Justino Accioli de Vasconcellos Sociedade Brasileira de Cirurgia Plástica
  • Zulmar Accioli de Vasconcellos Serviço de Cirurgia Plástica e Queimados HU/UFSC

Keywords:

Craniosynostosis, Cranioplasty, Cranial reconstruction

Abstract

Pediatric health providers evaluate and assist children with several cranial forms variations, which may represent craniosynostosis, deformational alterations or normal accepted variations. The correct identification and differentiation to diagnosis is important to aesthetics in some cases, to prevent or control intra cranial hypertension (ICH) in others, and as a final goal, to permit normal cerebral growing and cranial morphology. When cranial sutures mineralize in precocious and abnormal closure, osseous growth is impeded on the affected suture and redirected to others patent ones. This lead to cranial morphologic alterations, in part predictable, recognizable and at some extent permitting differentiations between the many possibilities on differential diagnosis. Frequently, parents, care givers and Pediatricians are the front line on suspecting about any abnormal issue on cranial format alterations. The Craniofacial teams are on duty to stablish correct differential diagnosis and indicate the most appropriate treatment, as well as provide follow up attention. Here we discuss criteria to our conduct on differentiation, classification and treatment on craniosynostosis and cranial reconstruction, in comparison with recent literature, and present data on 10 years current practice at HIJG to present data.

Author Biographies

  • Luis Gustavo Ferreira da Silva, Serviço de Cirurgia Plástica e Queimados HU/UFSC

    Cirurgião Plástico Craniofacial. Chefe do Serviço de Cirurgia Plástica e Queimados HU/UFSC.

  • Melina Bertolli Moré, Hospital Infantil Joana de Gusmão

    Neurocirurgiã do HIJG.

  • Charles Kondageski, Hospital Infantil Joana de Gusmão

    Neurocirurgião do Hospital Infantil Joana de Gusmão -  HIJG.

  • João Justino Accioli de Vasconcellos, Sociedade Brasileira de Cirurgia Plástica

    Cirurgião Plástico Craniofacial. Membro Titular da Sociedade Brasileira de Cirurgia Plástica.

  • Zulmar Accioli de Vasconcellos, Serviço de Cirurgia Plástica e Queimados HU/UFSC

    Regente do Serviço de Cirurgia Plástica e Queimados HU/UFSC.

References

Dias MS, Samson T, Rizk EB, Governale LS, Richtsmeier JT, Aldana PR, et al. Identifying the misshapen head: Craniosynostosis and related disorders. Pediatrics. 2020 Sep 1;146(3).

Akai T, Yamashita M, Shiro T, Hamada S, Maruyama K, Iizuka H, et al. Long-term Outcomes of Non-syndromic and Syndromic Craniosynostosis: Analysis of Demographic, Morphologic, and Surgical Factors. Neurologia Medico-Chirurgica. 2022;62(2):57–64.

Kim SY, Choi JW, Shin HJ, Lim SY. Reliable manifestations of increased intracranial pressure in patients with syndromic craniosynostosis. Journal of Cranio-Maxillofacial Surgery. 2019 Jan 1;47(1):158–64.

Udayakumaran S, Krishnadas A, Subhash P. Why do metopic sutural synostoses angulate? The concept of nasion sutural complex and its implication on the management of hypotelorism—early results and proof of concept. Child’s Nervous System. 2019 Jun 1;35(6):907–12.

Rodgers W, Glass GE, Schievano S, Borghi A, Rodriguez-Florez N, Tahim A, et al. Spring-Assisted Cranioplasty for the Correction of Nonsyndromic Scaphocephaly: A Quantitative Analysis of 100 Consecutive Cases. In: Plastic and Reconstructive Surgery. Lippincott Williams and Wilkins; 2017. p. 125–34.

Wójcicki P, Prudel B. Trigonocephaly: Long-term results after surgical correction of metopic suture synostosis. Advances in Clinical and Experimental Medicine. 2019;28(5):625–35.

Vinchon M, Guerreschi P, Karnoub MA, Wolber A. Morphological and surgical results in sagittal synostosis: early craniectomy versus later cranioplasty. Child’s Nervous System. 2021 Jul 1;37(7):2335–41.

Alford J, Derderian CA, Smartt JM. Surgical Treatment of Nonsyndromic Unicoronal Craniosynostosis. Journal of Craniofacial Surgery. 2018 Jul 1;29(5):1199–207.

Kölby D, Fischer S, Arab K, Maltese G, Olsson R, Paganini A, et al. Craniotomy of the fused sagittal suture over the superior sagittal sinus is a safe procedure. Journal of Craniofacial Surgery. 2017 Jan 30;28(3):650–3.

Published

2022-04-28

How to Cite

CRANIAL RECONSTRUCTION ON CRANIOSYNOSTOSIS: 10 YEARS EXPERIENCE AT HIJG. (2022). Arquivos Catarinenses De Medicina, 51(1), 324-333. https://revista.acm.org.br/arquivos/article/view/1219

Similar Articles

1-10 of 24

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)