J Korean Neurosurg Soc.  2016 May;59(3):227-232. 10.3340/jkns.2016.59.3.227.

Minimally Invasive Suturectomy and Postoperative Helmet Therapy : Advantages and Limitations

Affiliations
  • 1Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea. nsthomas@snu.ac.kr

Abstract

Various operative techniques are available for the treatment of craniosynostosis. The patient's age at presentation is one of the most important factors in the determination of the surgical modality. Minimally invasive suturectomy and postoperative helmet therapy may be performed for relatively young infants, whose age is younger than 6 months. It relies upon the potential for rapid brain growth in this age group. Its minimal invasiveness is also advantageous. In this article, we review the advantages and limitations of minimally invasive suturectomy followed by helmet therapy for the treatment of craniosynostosis.

Keyword

Craniosynostosis; Suturectomy; Helmet therapy

MeSH Terms

Brain
Craniosynostoses
Head Protective Devices*
Humans
Infant

Figure

  • Fig. 1 Preoperative (A) and 1-year postoperative (B) 3D reconstructed CT views of a patient with sagittal craniosynostosis treated with minimally invasive suturectomy and postoperatihelmet therapy (left : superior view, middle : anterior view, right : lateral view). Cephalic index is 68% preoperatively and is improved to 75% 1-year after the operation.

  • Fig. 2 Preoperative (A) and postoperative follow up 3D reconstructed CT images at 2 year (B) after the minimally invasive suturectomy in a patient with left coronal craniosynostosis (left : anterior view, right : superoanterior view). Note that supraorbital asymmetry is improved in 2-year follow up images compared with the preoperative image.

  • Fig. 3 Preoperative (A) and postoperative 1-year follow up (B) 3D reconstructed CT images of a patient with left lambdoid craniosynostosis (left : posterior view, right : superoposterior view). Deformation at contralateral parietal bone and cranial base is improved at the postoperative 1-year follow up images.

  • Fig. 4 Persistent supraorbital asymmetry of patients with right coronal craniosynostosis. Compared to preoperative (A) images, asymmetry is improved but still present at postoperative 1-year follow up (B).


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