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Premature craniosynostosis a retrospective analysis of a series of 52 cases
Authors:M Bernardy  E Donauer  D Neuenfeldt
Institution:(1) Department of Neurosurgery, Saarland University Medical School, Homburg/Saar, Federal Republic of Germany
Abstract:Summary A retrospective analysis of a consecutive series of 52 cases with premature craniosynostosis is presented.Excellent functional, cosmetic, and social results could be achieved by resection of prematurely fused sutures and the creation of artificial growth sutures. Pronounced skull deformities have been corrected using the ldquobasket handlerdquo, the ldquovisor plastyrdquo, and the ldquoT-bonerdquo techniques or a combination of several of these skull form correction techniques. The surgical correction of the skull base by the ldquofrontal advancementrdquo technique in combination with orbitotomy was only necessary in 2 of our cases and could have been considered in 2 additional cases viewed retrospectively.Our results support the hypothesis that the primary cause of skull deformity is the premature closure of vault sutures and not a primary deformity of the skull base.
Keywords:Premature craniosynostosis  surgical treatment  resection of prematurely fused sutures  creation of artificial growth sutures  basket handle technique  visor plasty  T-bone technique  frontal advancement
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