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The GETA technique: a novel technique protecting the dura against the distractors for early cranial expansion

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Abstract

Purpose

Posterior cranial vault distraction profoundly enlarges intracranial volume. To perform this procedure during the first year of life, the cranium is too thin to fix the distractors. Sometimes, the screws penetrate the bone, which risks scratching the dura during distraction. To solve this problem, we developed an implant fixation technique using bioabsorbable screws and plates, and named it the GETA technique.

Methods

In cases in which the bone is thinner than the screws, a resorbable sheet is placed between the bone and the dura to protect the dura from the tips of the screws.

Results

We used this technique for cranial distraction in four patients, with satisfactory results and without complications.

Conclusions

The technique described here allows craniofacial surgeons to fix the distractors without injuring the dura.

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References

  1. Arnaud E, Marchac A, Jeblaoui Y, Renier D, Di Rocco F (2012) Spring-assisted posterior skull expansion without osteotomies. Childs Nerv Syst 28:1545–1549

    Article  PubMed  Google Scholar 

  2. Komuro Y, Shimizu A, Ueda A, Miyajima M, Nakanishi H, Arai H (2011) Whole cranial vault expansion by continual occipital and fronto-orbital distraction in syndromic craniosynostosis. J Craniofac Surg 22:269–272

    Article  PubMed  Google Scholar 

  3. Nakajima H, Sakamoto Y, Tamada I, Ohara H, Kishi K (2012) An internal distraction device for Le Fort distraction osteogenesis: the NAVID system. J Plast Reconstr Aesthet Surg 65:61–67

    PubMed  Google Scholar 

  4. Steinbacher DM, Skirpan J, Puchala J, Bartlett SP (2011) Expansion of the posterior cranial vault using distraction osteogenesis. Plast Reconstr Surg 127:792–801

    Article  CAS  PubMed  Google Scholar 

  5. White N, Evans M, Dover MS, Noons P, Solanki G, Nishikawa H (2009) Posterior calvarial vault expansion using distraction osteogenesis. Childs Nerv Syst 25:231–236

    Article  PubMed  Google Scholar 

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Conflict of interest

The authors report no conflicts of interest concerning the materials or methods used in this study or the findings specified in this paper.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo, 160-8582, Japan

    Marie Aoki, Yoshiaki Sakamoto & Kazuo Kishi

  2. Department of Neurosurgery, Keio University School of Medicine, 5 Shinanomachi, Shinjuku-ward, Tokyo, 160-8582, Japan

    Tomoru Miwa & Kazunari Yoshida

Authors
  1. Marie Aoki
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  2. Yoshiaki Sakamoto
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  3. Tomoru Miwa
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  4. Kazunari Yoshida
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  5. Kazuo Kishi
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Corresponding author

Correspondence to Yoshiaki Sakamoto.

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Aoki, M., Sakamoto, Y., Miwa, T. et al. The GETA technique: a novel technique protecting the dura against the distractors for early cranial expansion. Childs Nerv Syst 31, 773–776 (2015). https://doi.org/10.1007/s00381-015-2661-2

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  • DOI: https://doi.org/10.1007/s00381-015-2661-2

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