CC BY-NC-ND 4.0 · Indian J Plast Surg 2023; 56(05): 461-465
DOI: 10.1055/s-0043-1774789
Case Report

Spring-Assisted Cranial Expansion for Multisuture Craniosynostosis: First Case Report from the Indian Subcontinent

Rajendra S. Gujjalanavar
1   Department of Plastic Surgery, Sakra World Hospital, Bengaluru, Karnataka, India
,
Rajalaxmi Doddamani
1   Department of Plastic Surgery, Sakra World Hospital, Bengaluru, Karnataka, India
,
1   Department of Plastic Surgery, Sakra World Hospital, Bengaluru, Karnataka, India
,
Swaroop Gopal
2   Department of Neurosurgery, Sakra World Hospital, Bengaluru, Karnataka, India
› Author Affiliations

Abstract

We present a first use case report from the Indian subcontinent of a 5-month-old child with multisuture craniosynostosis with raised intracranial pressure managed by spring-assisted cranial expansion followed by traditional fronto-orbital advancement and cranial vault remodeling. We emphasize the advantages of spring-assisted cranial expansion in extremely young infants with raised intracranial pressure over posterior vault distraction osteogenesis and open posterior vault remodeling.



Publication History

Article published online:
06 October 2023

© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Breakey RWF, van de Lande LS, Sidpra J. et al. Spring-assisted posterior vault expansion-a single-centre experience of 200 cases. Childs Nerv Syst 2021; 37 (10) 3189-3197
  • 2 Lauritzen CGK, Davis C, Ivarsson A, Sanger C, Hewitt TD. The evolving role of springs in craniofacial surgery: the first 100 clinical cases. Plast Reconstr Surg 2008; 121 (02) 545-554
  • 3 Choi M, Flores RL, Havlik RJ. Volumetric analysis of anterior versus posterior cranial vault expansion in patients with syndromic craniosynostosis. J Craniofac Surg 2012; 23 (02) 455-458
  • 4 Carlson AR, Taylor JA. Posterior vault distraction osteogenesis: indications and expectations. Childs Nerv Syst 2021; 37 (10) 3119-3125
  • 5 Jeelani N. Spring-assisted distraction: principles and techniques. In: Di Rocco DP C, Rutka J. eds. Textbook of Pediatric Neurosurgery. New York, USA: Springer; 2019: 1-15
  • 6 David LR, Plikaitis CM, Couture D, Glazier SS, Argenta LC. Outcome analysis of our first 75 spring-assisted surgeries for scaphocephaly. J Craniofac Surg 2010; 21 (01) 3-9
  • 7 Arko IV L, Swanson JW, Fierst TM. et al. Spring-mediated sagittal craniosynostosis treatment at the Children's Hospital of Philadelphia: technical notes and literature review. Neurosurg Focus 2015; 38 (05) E7
  • 8 de Jong T, van Veelen ML, Mathijssen IM. Spring-assisted posterior vault expansion in multisuture craniosynostosis. Childs Nerv Syst 2013; 29 (05) 815-820
  • 9 Nowinski D, Di Rocco F, Renier D, SainteRose C, Leikola J, Arnaud E. Posterior cranial vault expansion in the treatment of craniosynostosis. Comparison of current techniques. Childs Nerv Syst 2012; 28 (09) 1537-1544
  • 10 Thomas GP, Wall SA, Jayamohan J. et al. Lessons learned in posterior cranial vault distraction. J Craniofac Surg 2014; 25 (05) 1721-1727