Growing skull fracture after cranial vault reshaping in infancy

The Journal of Craniofacial Surgery
M YamamotoA Hanieh

Abstract

Growing skull fractures are reported in three infants undergoing cranial vault surgery for craniosynostosis. Although primary dural injury was overt in only one patient, an extensive dural defect with spatially coincident bony absence was identified in all patients at late exploration. The coincidence of dural injury, deficient overlying bone, and a pulsatile growing brain are necessary conditions for the development of growing skull fractures. With the advent of increasingly radical cranial vault procedures during infancy, the potential for this complication to arise may increase. Definitive correction requires autogenous tissue reconstruction of the dural and bony defect.

Citations

Apr 28, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Allan J Drapkin
Sep 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Javier Esparza, José Hinojosa
Sep 6, 2012·The Journal of Craniofacial Surgery·Wolfgang ZemannJoachim A Obwegeser
Jul 7, 2018·Journal of Neurosurgery. Pediatrics·Cecilia L Dalle OreHal S Meltzer
Nov 18, 2018·The Journal of Craniofacial Surgery·Ikkei TamadaMarie Aoki
Jan 9, 2016·The Journal of Craniofacial Surgery·Niels NoordzijChantal van der Horst

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