Abstract
Background
Different techniques to reshape the posterior skull vault have been developed in the last decades, all sharing the same goals of increasing the skull volume, decreasing the intracranial pressure (ICP), correcting the cranial dysmorphy, and contributing to a better growth of the skull. Though over the last years most refinements in these techniques have focused on the use of hardware as distractors or springs, the fixed posterior vault expansion remains a valuable procedure for cranial remodeling.
Methods
We describe in details the technique used for fixed posterior vault expansion in children that is applied at the French Referral center for Craniosynostosis of Lyon, France.
Discussion
The fixed posterior vault expansion increases the risk of perioperative complications due to the elevation of the posterior bone flap from the dura but allows an immediate decompression and correction of the shape, simplifying the postoperative course.
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taken from the vertex area, behind the bregma. Then, the bone flap is removed and the dura mater exposed. Transoccipital cuts are performed. Please note the digitate impressions that can be seen on the calvaria. The bone bandeau and the bone flap can be reshaped as needed before being repositioned
Abbreviations
- ICP:
-
Intracranial pressure
- PCVE:
-
Posterior cranial vault expansion
- FGFR:
-
Fibroblast growth factor receptor
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Concept and design: Di Rocco. Drafting the article: Di Rocco, Licci. Figures: Di Rocco, Licci; Critically revising the article: All authors.
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DI Rocco , F., Licci, M., Paasche, A. et al. Fixed posterior cranial vault expansion technique. Childs Nerv Syst 37, 3137–3141 (2021). https://doi.org/10.1007/s00381-021-05270-0
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DOI: https://doi.org/10.1007/s00381-021-05270-0