Facial Plastic and Reconstructive Surgery by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030459208
Publisher: Springer International Publishing

Simple strip craniectomy (suturectomy)

this procedure largely abandoned unless done concomitant with spring assistance or postoperative molding helmets; recent authors advocate for use of minimally invasive suturectomy which decreases hospital stay and intraoperative bleeding and reoperations.

Complications of surgery: infection, optic nerve ischemia, seizures, bleeding, need for frequent blood transfusion, mortality rate 1.5–2%.

Endoscopic-assisted strip craniectomy with wedge craniectomy

more modern technique; can be done in patients presenting at 3–6 months and for less severe deformities. Total cranial vault reconstruction is recommended at age 9–12 months for patients who present later than 6 months or have severe deformities. Two-stage procedure often advocated when occipital and frontotemporal deformities present, first surgery done at 3–6 months, second surgery at 12 months.

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