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Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis

Isolated frontosphenoidal craniosynostosis is extremely rare, due to which diagnosis can be challenging. All the isolated cases reported have been treated by open surgical technique. We present a unique case report of an infant with an isolated frontosphenoidal synostosis corrected by a novel endosc...

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Autores principales: Ravi, Subhashree, AlSaadawi, Ghaith, Al Olama, Mohammad, Stenger, Charl, Mendonca, Derek A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870231/
https://www.ncbi.nlm.nih.gov/pubmed/36699226
http://dx.doi.org/10.1097/GOX.0000000000004788
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author Ravi, Subhashree
AlSaadawi, Ghaith
Al Olama, Mohammad
Stenger, Charl
Mendonca, Derek A.
author_facet Ravi, Subhashree
AlSaadawi, Ghaith
Al Olama, Mohammad
Stenger, Charl
Mendonca, Derek A.
author_sort Ravi, Subhashree
collection PubMed
description Isolated frontosphenoidal craniosynostosis is extremely rare, due to which diagnosis can be challenging. All the isolated cases reported have been treated by open surgical technique. We present a unique case report of an infant with an isolated frontosphenoidal synostosis corrected by a novel endoscopic surgical technique. The patient was a 5-month-old boy with worsening abnormal head shape indicating progressive right frontal bossing, left orbital displacement, and right occipital plagiocephaly. Computed tomography scan confirmed the diagnosis of left isolated frontosphenoidal craniosynostosis. Endoscopic-assisted surgical release was done starting with a 2.5-cm incision in the left temple area followed by a 2-cm strip osteotomy to excise the fused frontosphenoidal suture. Custom-made orthotic helmet therapy was started 2-weeks postsurgery, with excellent progress noted in the head shape confirmed by laser scans. The benefits of the endoscopic technique include smaller incision, decreased blood loss and need for blood transfusion, and decreased stay in hospital. This is the first case report showing the application of a novel endoscopic-assisted surgical treatment in an isolated frontosphenoidal craniosynostosis with no complications noted.
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spelling pubmed-98702312023-01-24 Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis Ravi, Subhashree AlSaadawi, Ghaith Al Olama, Mohammad Stenger, Charl Mendonca, Derek A. Plast Reconstr Surg Glob Open Craniofacial/Pediatric Isolated frontosphenoidal craniosynostosis is extremely rare, due to which diagnosis can be challenging. All the isolated cases reported have been treated by open surgical technique. We present a unique case report of an infant with an isolated frontosphenoidal synostosis corrected by a novel endoscopic surgical technique. The patient was a 5-month-old boy with worsening abnormal head shape indicating progressive right frontal bossing, left orbital displacement, and right occipital plagiocephaly. Computed tomography scan confirmed the diagnosis of left isolated frontosphenoidal craniosynostosis. Endoscopic-assisted surgical release was done starting with a 2.5-cm incision in the left temple area followed by a 2-cm strip osteotomy to excise the fused frontosphenoidal suture. Custom-made orthotic helmet therapy was started 2-weeks postsurgery, with excellent progress noted in the head shape confirmed by laser scans. The benefits of the endoscopic technique include smaller incision, decreased blood loss and need for blood transfusion, and decreased stay in hospital. This is the first case report showing the application of a novel endoscopic-assisted surgical treatment in an isolated frontosphenoidal craniosynostosis with no complications noted. Lippincott Williams & Wilkins 2023-01-23 /pmc/articles/PMC9870231/ /pubmed/36699226 http://dx.doi.org/10.1097/GOX.0000000000004788 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Craniofacial/Pediatric
Ravi, Subhashree
AlSaadawi, Ghaith
Al Olama, Mohammad
Stenger, Charl
Mendonca, Derek A.
Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis
title Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis
title_full Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis
title_fullStr Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis
title_full_unstemmed Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis
title_short Endoscopic-assisted Surgery in the Treatment of Isolated Frontosphenoidal Craniosynostosis
title_sort endoscopic-assisted surgery in the treatment of isolated frontosphenoidal craniosynostosis
topic Craniofacial/Pediatric
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870231/
https://www.ncbi.nlm.nih.gov/pubmed/36699226
http://dx.doi.org/10.1097/GOX.0000000000004788
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