Corrección de la craneosinostosis coronal mediante remodelación ósea frontal con osteotomía en espiral.

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Bibliographic Details
Title:	Corrección de la craneosinostosis coronal mediante remodelación ósea frontal con osteotomía en espiral.
Alternate Title:	Coronal craniosynostosis treatment with spiral osteotomy for frontal cranial.
Authors:	Anaya-Jara, Marcial¹ manayaj@gmail.com, Ávila-Rosas, Héctor², Rueda-Franco, Fernando¹, Mondragón-Mora, Benita³, Elizalde-Velázquez, Susana⁴
Source:	Archivos de Neurociencias. abr-jun2015, Vol. 20 Issue 2, p104-108. 5p. 4 Color Photographs, 2 Black and White Photographs, 1 Chart.
Subjects:	BONE grafting, CRANIOSYNOSTOSES, CRANIOTOMY, ELECTROENCEPHALOGRAPHY, LONGITUDINAL method, RESEARCH methodology, OSTEOTOMY, SURGICAL complications, PRE-tests & post-tests, FRONTAL bone
Geographic Terms:	MEXICO
Abstract (English):	We present 12 cases of patients with coronal craniosynostosis treated with spiral osteotomy for frontal cranial remodeling, at the National Institute of Pediatrics, Mexico. Material and methods: a prospective, descriptive study was made, including patients from 3 to 34 months old with uni or bilateral coronal craniosynostosis, between August 2009 and January 2014. They were surgically treated with spiral osteotomy for remodeling the frontal bone. Pre and post-operative computed tomography and electroencephalograms were made. Variables studied were age, gender, coronal craniosynostosis type (left, right or bilateral), shape of remodeled frontal bone in computed tomography, electroencephalographic findings and surgical complications. Results: a total of 12 consecutive patients were treated with spiral osteotomy for remodeling the frontal bone. The frontal bone graft recontouring and advancement were successful in restoring the cranial vault morphology. Electroencephalographic findings were abnormal for most patients, with generalized slow wave activity generalized before and after surgery, without seizures. One patient suffer dural tear during craniotomy, and later hydrocephalus and bone resorption but it was not related with the spiral osteotomy. Discussion: we considered this surgical technique as a good option for remodeling the frontal bone in coronal craniosynostosis, without mayor morbility; and the electroencephalogram should be considered an indispensable study for the complete evaluation and following for these patients. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Presentamos 12 casos de craneosinostosis coronal tratados con la técnica quirúrgica de remodelación ósea frontal con osteotomía en espiral, en el Instituto Nacional de Pediatría, México. Material y métodos: se realizó un estudio prospectivo observacional donde se incluyeron pacientes de 3 a 34 meses de edad con diagnóstico de craneosinostosis coronal (uni o bilateral), tratados quirúrgicamente con remodelación craneal y osteotomía en espiral del hueso frontal, de agosto de 2009 a enero de 2014. Se les realizaron tomografías computadas simples de cráneo y electroencefalogramas preoperatorios y posoperatorios. Las variables estudiadas fueron edad, sexo, tipo de craneosinostosis coronal (izquierda, derecha o bilateral), remodelación del hueso frontal afectado en tomografía, hallazgos electroencefalográficos, y complicaciones posquirúrgicas. Resultados: en 12 pacientes consecutivos se realizó la cirugía de remodelación craneal frontal con osteotomía en espiral. El avance del colgajo óseo frontal y la remodelación craneal fueron adecuados para restaurar la morfología craneal. Los estudios de electrofisiología mostraron alteraciones electroencefalográficas en la mayoría de los pacientes, principalmente con actividad lentifi- cada generalizada antes de la cirugía y en el periodo posoperatorio mediato, ningún paciente presentó crisis convulsivas. Un paciente tuvo desgarro de la duramadre durante la craneotomía frontal, y después desarrolló hidrocefalia y reabsorción ósea, complicaciones no relacionadas con el corte en espiral. Discusión: consideramos que la técnica quirúrgica de osteotomía en espiral es una buena opción para remodelar el hueso frontal en pacientes con craneosinostosis coronal sin mayor morbilidad, y el electroencefalograma debería considerarse un estudio indispensable para la evaluación integral y seguimiento de estos pacientes. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	We present 12 cases of patients with coronal craniosynostosis treated with spiral osteotomy for frontal cranial remodeling, at the National Institute of Pediatrics, Mexico. Material and methods: a prospective, descriptive study was made, including patients from 3 to 34 months old with uni or bilateral coronal craniosynostosis, between August 2009 and January 2014. They were surgically treated with spiral osteotomy for remodeling the frontal bone. Pre and post-operative computed tomography and electroencephalograms were made. Variables studied were age, gender, coronal craniosynostosis type (left, right or bilateral), shape of remodeled frontal bone in computed tomography, electroencephalographic findings and surgical complications. Results: a total of 12 consecutive patients were treated with spiral osteotomy for remodeling the frontal bone. The frontal bone graft recontouring and advancement were successful in restoring the cranial vault morphology. Electroencephalographic findings were abnormal for most patients, with generalized slow wave activity generalized before and after surgery, without seizures. One patient suffer dural tear during craniotomy, and later hydrocephalus and bone resorption but it was not related with the spiral osteotomy. Discussion: we considered this surgical technique as a good option for remodeling the frontal bone in coronal craniosynostosis, without mayor morbility; and the electroencephalogram should be considered an indispensable study for the complete evaluation and following for these patients. [ABSTRACT FROM AUTHOR]
ISSN:	10285938
DOI:	10.31157/archneurosciencesmex.v20i2.79