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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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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. |
format | Online Article Text |
id | pubmed-9870231 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
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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