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
Hauptverfasser: Sundine, Michael J, Wirth, Garrett A, Brenner, Kevin A, Loudon, William G, Muhonen, Michael G, Greene, Clarence S, Rowen, Scott, Sabzghabaei, Natalie, Sabzghagaei, Natalie
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container_end_page 655
container_issue 4
container_start_page 645
container_title The Journal of craniofacial surgery
container_volume 17
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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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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