Nautilus: craniotomia dinâmica - nova técnica cirúrgica e resultados preliminares

Vera Lucia Nocchi Cardim, Alessandra dos Santos Silva, Rolf Lucas Salomons, Rodrigo Faria do Valle Dornelles, Adriano de Lima e Silva, José Orlofe de Souza Blom, Nelci Zanon Colange
2013 Revista Brasileira de Cirurgia Plástica  
Rev Bras Cir Plást. 2013;28(1):29-35 29 Nautilus: dynamic craniotomy -new surgical technique and preliminary results Nautilus-shaped dynamic craniotomy: a new surgical technique and preliminary results Nautilus: craniotomia dinâmica -nova técnica cirúrgica e resultados preliminares ABSTRACT Introduction: Considering that craniosynostosis is a suture-related condition, the main challenge for its treatment is the fact that the brain is located in a closed compartment that does not have the
more » ... not have the required adaptability to accommodate its growth. The goal of treat ment is to restore stenotic suture adaptability and correct the compensatory cranial deformity. This paper proposes the combined use of spiral osteotomy with distraction osteogenesis by the use of distracting springs to remodel craniofacial defects caused by craniosynostosis. Methods: Between July 2010 and July 2012, 10 patients with craniosynostosis were treated: 5 with oxycephaly, 3 with scaphocephaly, 1 with turricephaly, and 1 with trigonocephaly. The treatment consisted of the application of Lauritzen springs to correct the primary craniosynostosis defect in combination with a nautilus-shaped spiral craniotomy at the secondary deformation sites without dural detachment. Results: Resolution of cranial deformity and remission of the clinical signs of intracranial hypertension were observed. None of the patients had complications such as cerebrospinal fluid fistula, local infection, seroma, or hematoma. Conclusions: The combined use of spiral osteotomy with spring-mediated distraction or contraction enables active reshaping of the skull and facilitates accommodation of the brain by the cranial cavity. (clinicaltrials.gov identifier: NCT01672619)
doi:10.1590/s1983-51752013000100006 fatcat:gbyvqfezfzeabpl4we4npunwcu