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2015 ; 55
(8
): 617-23
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Posterior Cranial Vault Distraction Osteogenesis with Barrel Stave Osteotomy in
the Treatment of Craniosynostosis
#MMPMID26226978
Komuro Y
; Shimizu A
; Shimoji K
; Miyajima M
; Arai H
Neurol Med Chir (Tokyo)
2015[]; 55
(8
): 617-23
PMID26226978
show ga
Twenty years have passed since distraction osteogenesis was introduced into the
field of craniomaxillofacial surgery, with distraction osteogenesis gradually
consolidating its position for midface advancement in syndromic craniosynostosis.
On the other hand, no consensus has been reached regarding its adaptation to
calvarial bone. We reported that distraction osteogenesis was useful in posterior
cranial vault expansion, and subsequently, similar reports have been successively
observed worldwide. In posterior cranial vault distraction, intracranial capacity
could be greatly expanded due to its simultaneous expansion with the scalp, with
little risk of relapse because new bone is regenerated in the distraction gap.
The possibility was suggested that the standard of first carrying out
fronto-orbital advancement (FOA) for brachycephaly observed in syndromic
craniosynostosis will greatly change posterior cranial vault distraction.