Cranial vault reduction cranioplasty in children with hydrocephalic macrocephaly
Craniofacial surgeons are rarely presented patients with extreme hydrocephalic macrocephaly due to early diagnosis and treatment of the hydrocephalus. Macrocephaly can significantly limit or prohibit mobility, hygiene and can drastically change lifestyle and developmental issues. The authors herein...
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Veröffentlicht in: | The Journal of craniofacial surgery 2006-07, Vol.17 (4), p.645-655 |
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container_title | The Journal of craniofacial surgery |
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creator | Sundine, Michael J Wirth, Garrett A Brenner, Kevin A Loudon, William G Muhonen, Michael G Greene, Clarence S Rowen, Scott Sabzghabaei, Natalie Sabzghagaei, Natalie |
description | Craniofacial surgeons are rarely presented patients with extreme hydrocephalic macrocephaly due to early diagnosis and treatment of the hydrocephalus. Macrocephaly can significantly limit or prohibit mobility, hygiene and can drastically change lifestyle and developmental issues. The authors herein report on four consecutive total cranial vault reduction cranioplasty procedures for correction of hydrocephalic macrocephaly. The patients had a reduction in cranial volume ranging from 111-641 mL. All patients survived the procedure. Improvement in head control and aesthetics were improved in all patients. All of the patients required at least one shunt revision following the procedure. We conclude that total cranial vault reshaping is safe and effective for the treatment of macrocephaly secondary to hydrocephalus. |
doi_str_mv | 10.1097/00001665-200607000-00007 |
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Macrocephaly can significantly limit or prohibit mobility, hygiene and can drastically change lifestyle and developmental issues. The authors herein report on four consecutive total cranial vault reduction cranioplasty procedures for correction of hydrocephalic macrocephaly. The patients had a reduction in cranial volume ranging from 111-641 mL. All patients survived the procedure. Improvement in head control and aesthetics were improved in all patients. All of the patients required at least one shunt revision following the procedure. We conclude that total cranial vault reshaping is safe and effective for the treatment of macrocephaly secondary to hydrocephalus.</description><identifier>ISSN: 1049-2275</identifier><identifier>DOI: 10.1097/00001665-200607000-00007</identifier><identifier>PMID: 16877908</identifier><language>eng</language><publisher>United States</publisher><subject>Absorbable Implants ; Bone Plates ; Cerebrospinal Fluid Shunts ; Child ; Child, Preschool ; Craniofacial Abnormalities - surgery ; Craniosynostoses - surgery ; Craniotomy - instrumentation ; Craniotomy - methods ; Dentistry ; Female ; Holoprosencephaly - surgery ; Humans ; Hydrocephalus - surgery ; Infant ; Lactic Acid ; Male ; Occipital Bone - surgery ; Parietal Bone - surgery ; Polyglycolic Acid ; Polymers ; Reconstructive Surgical Procedures - instrumentation ; Reconstructive Surgical Procedures - methods ; Skull - surgery ; Temporal Bone - surgery</subject><ispartof>The Journal of craniofacial surgery, 2006-07, Vol.17 (4), p.645-655</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c313t-b28be4327a267927aac726980e7db9c4cc9df968faa37b11040d84925e6460e73</citedby><cites>FETCH-LOGICAL-c313t-b28be4327a267927aac726980e7db9c4cc9df968faa37b11040d84925e6460e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16877908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sundine, Michael J</creatorcontrib><creatorcontrib>Wirth, Garrett A</creatorcontrib><creatorcontrib>Brenner, Kevin A</creatorcontrib><creatorcontrib>Loudon, William G</creatorcontrib><creatorcontrib>Muhonen, Michael G</creatorcontrib><creatorcontrib>Greene, Clarence S</creatorcontrib><creatorcontrib>Rowen, Scott</creatorcontrib><creatorcontrib>Sabzghabaei, Natalie</creatorcontrib><creatorcontrib>Sabzghagaei, Natalie</creatorcontrib><title>Cranial vault reduction cranioplasty in children with hydrocephalic macrocephaly</title><title>The Journal of craniofacial surgery</title><addtitle>J Craniofac Surg</addtitle><description>Craniofacial surgeons are rarely presented patients with extreme hydrocephalic macrocephaly due to early diagnosis and treatment of the hydrocephalus. Macrocephaly can significantly limit or prohibit mobility, hygiene and can drastically change lifestyle and developmental issues. The authors herein report on four consecutive total cranial vault reduction cranioplasty procedures for correction of hydrocephalic macrocephaly. The patients had a reduction in cranial volume ranging from 111-641 mL. All patients survived the procedure. Improvement in head control and aesthetics were improved in all patients. All of the patients required at least one shunt revision following the procedure. We conclude that total cranial vault reshaping is safe and effective for the treatment of macrocephaly secondary to hydrocephalus.</description><subject>Absorbable Implants</subject><subject>Bone Plates</subject><subject>Cerebrospinal Fluid Shunts</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Craniofacial Abnormalities - surgery</subject><subject>Craniosynostoses - surgery</subject><subject>Craniotomy - instrumentation</subject><subject>Craniotomy - methods</subject><subject>Dentistry</subject><subject>Female</subject><subject>Holoprosencephaly - surgery</subject><subject>Humans</subject><subject>Hydrocephalus - surgery</subject><subject>Infant</subject><subject>Lactic Acid</subject><subject>Male</subject><subject>Occipital Bone - surgery</subject><subject>Parietal Bone - surgery</subject><subject>Polyglycolic Acid</subject><subject>Polymers</subject><subject>Reconstructive Surgical Procedures - instrumentation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Skull - surgery</subject><subject>Temporal Bone - surgery</subject><issn>1049-2275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFUMtOwzAQ9AFES-EXkE_cAraT-HFEFS-pEhzgbDm2oxg5D-wElL_HoS3sZTWj2Z3dAQBidIORYLcoFaa0zAhCFLGEsoViJ2CNUSEyQli5AucxfiBEMCb0DKww5YwJxNfgdRtU55SHX2ryIwzWTHp0fQf1wveDV3GcoUu4cd4E28FvNzawmU3otR0a5Z2GrdJHNF-A01r5aC8PfQPeH-7ftk_Z7uXxeXu3y3SO8zGrCK9skROmCGUiNaUZoYIjy0wldKG1MLWgvFYqZxVOnyDDC0FKSwuaRPkGXO_3DqH_nGwcZeuitt6rzvZTlJRTzktBk5DvhenGGIOt5RBcq8IsMZJLgvKYoPxL8JdaPK4OHlPVWvM_eIgv_wEDP27O</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>Sundine, Michael J</creator><creator>Wirth, Garrett A</creator><creator>Brenner, Kevin A</creator><creator>Loudon, William G</creator><creator>Muhonen, Michael G</creator><creator>Greene, Clarence S</creator><creator>Rowen, Scott</creator><creator>Sabzghabaei, Natalie</creator><creator>Sabzghagaei, Natalie</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Cranial vault reduction cranioplasty in children with hydrocephalic macrocephaly</title><author>Sundine, Michael J ; 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Macrocephaly can significantly limit or prohibit mobility, hygiene and can drastically change lifestyle and developmental issues. The authors herein report on four consecutive total cranial vault reduction cranioplasty procedures for correction of hydrocephalic macrocephaly. The patients had a reduction in cranial volume ranging from 111-641 mL. All patients survived the procedure. Improvement in head control and aesthetics were improved in all patients. All of the patients required at least one shunt revision following the procedure. We conclude that total cranial vault reshaping is safe and effective for the treatment of macrocephaly secondary to hydrocephalus.</abstract><cop>United States</cop><pmid>16877908</pmid><doi>10.1097/00001665-200607000-00007</doi><tpages>11</tpages></addata></record> |
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subjects | Absorbable Implants Bone Plates Cerebrospinal Fluid Shunts Child Child, Preschool Craniofacial Abnormalities - surgery Craniosynostoses - surgery Craniotomy - instrumentation Craniotomy - methods Dentistry Female Holoprosencephaly - surgery Humans Hydrocephalus - surgery Infant Lactic Acid Male Occipital Bone - surgery Parietal Bone - surgery Polyglycolic Acid Polymers Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Skull - surgery Temporal Bone - surgery |
title | Cranial vault reduction cranioplasty in children with hydrocephalic macrocephaly |
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