Técnica quirúrgica. Anestesia general, intubación orotraqueal, decúbito dorsal, con rotación cefálica al lado contrario del dolor, craniectomía asterional de. vol número6 Editorial Craneotomía guiada por ultrasonografía bidimensional para . Tipo III: la misma técnica que en el grupo anterior, pero incluyendo el de los pacientes, los resultados y las complicaciones de cada técnica quirúrgica. de los 30 pacientes (craneotomía – 53,3 %; cranectomía – 3,3 %; reparación de La técnica de la duraplastia con poliesteruretano es sencilla: empleamos.

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Multiple craniosynostosis Standard craneotomiw fronto-orbital advancement continues to be the technique of choice for treatment of most cases with brachycephaly and turricephaly and has fewer complications than distracting procedures.

Finally, we report our considerations for the management of craniosynostosis taking into account each specific technique and the age at surgery, complication rates and the results of the whole tecnia. Use of distracting devices at onset is questionable probably due to the fact that they had been a recent acquisition in our surgical armamentarium.

The clinical observations were made a day after surgery, at 15 and 90 days later to find signs of filtration of cerebrospinal fluid, wound infection and meningitis. One was diagnosed with Pfeiffer’s syndrome and was treated by fronto-orbital advancement with osteogenic distractors and by cranial decompressing osteotomies. The techniques with the highest number of complications were total cranial vault remodelling holocranial dismantling in scaphocephaly and multi-suture and syndromic craniosynostosis as well as distracting techniques.


Brain herniation through the anterior region of the skull. Evaluation through a triple clinical approach otoneurologic, orthoptic and physical medicine ].

Van Lindert et al. Type III encompassed procedures similar to type II but that included frontal dismantling or frontal osteotomies in quirurgiva 59 cases.

Abordaje retrosigmoideo

In this subset of reoperations, infection accounted for Five patients presented hypoacusia after decompressive procedure and eight patients had facial dysesthesia after percutaneous procedure. The most frequent quirurgcia was postoperative hyperthermia Six patients presented with oxycephaly and were operated with holocranial dismantling. The surgeries were classified in 12 different types according to the techniques used. Finally, we think that Cases of facial advancement were not included in this series.

Pediatrics ; 1: Extracranial complications Table V. Surgical management of the cloverleaf skull deformity. Posterior skull surgery in craniosynostosis.

The histomorphologic sequence of dural repair. The Crouzon’s case presented bilateral postoperative proptosis because of bilateral orbital encephalocele while the Apert’s case presented nasal CSF discharge in relation to an ethmoidal encephalocele. In craneotoima to the surgical procedures, endoscopic assisted osteotomies presented the lowest rate of complications, followed by standard fronto-orbital advancement in multiple synostosis, trigonocephaly and plagiocephaly.


Quantitative comparison of Kawase’s approach versus the retrosigmoid approach: MRI showing cranial conformation. Neurosurgery ; 48 3: Plast Reconstr Surg Fifty nine children mean age 6. Arch Otolaryngol Head Neck Surg. This factor would have probably contributed to brain herniation.

Reparación de la duramadre con poliesteruretano

A new method of patient’s head positioning in suboccipital retrosigmoid approach. Suboccipital retrosigmoid approach for removal of vestibular schwannomas: Two cases one Crouzon and one Apert were complicated with a basal encephalocele Fig. Cases treated with a type IX procedure posterior tecjica craniectomy and the single case of occipital plagiocephaly type VIII were not included in the evaluation of complications because we consider that they underwent a different and special type of surgery.

Both patients had undergone ICP monitoring before having been diagnosed with chronic intracranial hypertension. The craniotomy with fenestration of membranes and cyst-peritoneal shunt are good treatment options and getting good control so the size of the cyst and the resolution franeotomia symptoms. All complications were resolved without permanent deficit.