Introduction of Spring-Assisted Cranioplasty for Bicoronal Synotosis in India: Description of First Case and Our Learning Experience.

Abstract

Background:

Various surgical techniques for cranial reconstruction of patients with bicoronal synostosis have been suggested. The outcome is, however, still often suboptimal.

Methods:

In a 5-month-old child with apert syndrome, following a craniotomy incision, lambdoid suturotomy was done bilaterally. Two springs were implanted bilaterally over the lambdoid sutures. Cephalic index was obtained from three-dimensional computed tomography scans, and photographs were analyzed for aesthetic evaluation.

Result:

The preoperative calvarial shape was hyperbrachycephalic. The CI improved from 92 to 83 units. Duration of surgery was 1 h 45 min, blood loss was 30 mL, and total hospital stay was 3 days. No major complications were observed. Spring removal was done at 6 months postoperatively and frontoorbital advancement performed.

Conclusion:

Spring-assisted cranioplasty for bicoronal synostosis is a safe and elegant technique, is less invasive than many other cranioplasties, and results in marked improvement in the calvarial shape.

• Authors: Debarati Chattopadhyay, Madhubari Vathulya, Akshay Kapoor, Rajnish Arora
• Journal: Neurology India (Neurol India) 2023 May-Jun Vol. 71 Issue 3 Pg. 527-530 ISSN: 1998-4022 [Electronic] India
• PMID: 37322751 (Publication Type: Journal Article)

Topics

• Child
• Humans
• Infant
• Treatment Outcome
• Skull (diagnostic imaging, surgery)
• Craniosynostoses (diagnostic imaging, surgery)
• Cranial Sutures (diagnostic imaging, surgery)
• Craniotomy (methods)
• India