Acta Neurochirurgica

, Volume 120, Issue 3–4, pp 126–131 | Cite as

T-Bone Plastique for treatment of brachy-turricephaly

  • E. Donauer
  • M. Bernardy
  • D. Neuenfeldt
Clinical Articles

Summary

The “T-Bone Plastique”, which is presented in this paper, allows a surgical correction even of extreme cases of brachy-turricephaly together with malformations of the occipital region in one operative session.

Brachy-turricephaly is characterized by abnormal vertical height of the skull and a shortening of its anterior-posterior length, frequently combined with malformations of the occipital region.

Resection of the prematurely closed coronal suture, bi-parietal trepanations with 90° rotation and side-exchange of the parietal bone flaps, double transverse trepanation of the occipital bone and outward bending and shifting of the bone fragments anable a bony remodeling and normalisation of the deformed skull.

Using this operative technique in three children we achieved a significant improvement of the skull form with an aesthetically pleasing result, without any neurologic sequelae and with normal development of the children during follow-up.

Keywords

Craniosynostosis brachy-turricephaly T-bone plastique 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Anderson F, Johnson F (1956) Craniosynostosis. A modification in surgical treatment. Surgery 40: 961–970PubMedGoogle Scholar
  2. 2.
    Bernardy M, Premature craniosynostosis: indication, timing, technique and results of operative treatment; a retrospective study on 52 cases. Medical dissertation Homburg/Saar, Germany 1992Google Scholar
  3. 3.
    Brandt I (1986) Developmental biology, prenatal growth. In: Falkner F, Tanner JM (eds) Human growth, 2nd Ed, Vol 1. Plenum Press, New YorkGoogle Scholar
  4. 4.
    Castermans A, Stevenaert A, Born J, Lahaye T, Lenelle J, Jacquemin D, Colon J, Colot G (1988) Les facio-craniosténoses. Acta Chir Belg 88: 89–94PubMedGoogle Scholar
  5. 5.
    Delashaw J, Persing J, Broaddus W, Jane J (1989) Cranial vault growth in craniosynostosis. J Neurosurg 70: 159–165PubMedGoogle Scholar
  6. 6.
    Donauer E, Faubert C, Bernardy M, Neuenfeldt D (1991) Craniosynostosis. J Neuroradiol [Suppl] 33: 101, 196CrossRefGoogle Scholar
  7. 7.
    Goodrich J (1991) Craniofacial reconstruction for craniosynostosis. In: Goodrich J, Post K, Argamaso R (eds). Plastic techniques in Neurosurgery. Thieme, New York, pp 75–108Google Scholar
  8. 8.
    Hoffmann H, Mohr G (1976) Lateral canthal advancement of the supraorbital margin. J Neurosurg 45: 376–381PubMedGoogle Scholar
  9. 9.
    Ingraham F, Alexander E, Matson D (1948) Clinical studies in craniosynostosis: analysis of 50 cases and description of methods of surgical treatment. Surgery 24: 518Google Scholar
  10. 10.
    Lane L (1892) Pioneer craniectomy for relief of mental imbecillity due to premature suturai closure and microcephalus. J Am Med Ass 18: 49–50Google Scholar
  11. 11.
    Lannelongue O (1980) De la craniectomie dans la microcéphalie. Compte Rend. Acad Sci 110: 1382–1385Google Scholar
  12. 12.
    Marchac D, Cophignon J, Van der Meulen J, Bouchta M (1974) A propos des ostéotomies d'avancement du crâne et du face. Ann Chir Plast 17:233–244Google Scholar
  13. 13.
    Marchac D, Renier D (1983) Traitement précoce de l'asymetrie orbitaire in plagiocéphalies. J Fr Ophtalmol 6: 359–366PubMedGoogle Scholar
  14. 14.
    Marchac D, Renier D (1987) Treatment of craniosynostosis in infancy. Clin Plast Surg 14: 63–72Google Scholar
  15. 15.
    Moss M (1959) The pathogenesis of premature craniosynostosis in man. Acta Anat 37 (Basel): 351PubMedGoogle Scholar
  16. 16.
    Moss M (1975) Functional anatomy of cranial synostosis. Childs Brain 1: 22PubMedGoogle Scholar
  17. 17.
    Munro I (1981) Current surgery of craniofacial anomalies. Otolaryngol Clin North Am 14: 157–166PubMedGoogle Scholar
  18. 18.
    Persing J, Edgerton M, Park T, Jane J (1987) Barrel stave osteotomy for correction of turribrachycephaly craniosynostosis deformity. Ann Plast Surg 18: 488–493PubMedGoogle Scholar
  19. 19.
    Persing J, Delashaw J, Jane J, Edgerton M (1988) Lambdoid synostosis: surgical considerations. Plast Reconstr Surg 81: 852–860PubMedGoogle Scholar
  20. 20.
    Rougerie J, Derome P, Anquez L (1972) Craniosténoses et dysmorphies cranio-faciales. Principes d'une nouvelle technique de traitment et ses résultats. Neurochirurgie 18: 429–440PubMedGoogle Scholar
  21. 21.
    Stricker M, Montaut J, Hepner H, Flot F (1972) Les ostéotomies du crâne et de la face. Ann Chir Plast 17: 233–244PubMedGoogle Scholar
  22. 22.
    Tessier P (1971) Relationship of craniostenoses to craniofacial dysostoses and to faciostenosis. Plast Reconstr Surg 48: 224PubMedGoogle Scholar
  23. 23.
    Virchow R (1852) Über den Cretinismus, namentlich in Franken, und über pathologische Schädelformen. Verh Phys Med Gesellsch Würzburg 2: 230Google Scholar
  24. 24.
    Whitaker L, Munro I, Sawyer K, Jackson I, Ortiz M, Marchac D (1979) Combined report of problems and complications in 793 craniofacial operations. Plast Reconstr Surg 64: 198PubMedGoogle Scholar
  25. 25.
    Whitaker L, Broennle M, Kerr L, Herlich A (1980) Improvements in cranio-facial reconstruction: methods envolved in 235 consecutive patients. Plast Reconstr Surg 65: 561–570PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • E. Donauer
    • 1
  • M. Bernardy
    • 1
  • D. Neuenfeldt
    • 1
  1. 1.Department of NeurosurgerySaarland University Medical SchoolHomburg/SaarFederal Republic of Germany

Personalised recommendations