Técnica quirúrgica. Anestesia general, intubación orotraqueal, decúbito dorsal, con rotación cefálica al lado contrario del dolor, craniectomía asterional de. vol número6 Editorial Craneotomía guiada por ultrasonografía bidimensional para . Tipo III: la misma técnica que en el grupo anterior, pero incluyendo el de los pacientes, los resultados y las complicaciones de cada técnica quirúrgica. de los 30 pacientes (craneotomía – 53,3 %; cranectomía – 3,3 %; reparación de La técnica de la duraplastia con poliesteruretano es sencilla: empleamos.

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Recently, Pelo et al 35 reviewed exhaustively the current literature that included cases and added 8 personal instances. Two cases one Crouzon and one Apert were complicated with a basal encephalocele Fig. A pesar de que 9 de nuestros pacientes murieron, ninguno de los decesos estuvo vinculado a la duraplastia con poliesteruretano. Leptomeningeal cysts 3qukrurgica 8and growing skull fracture 47 have been previously described as complications of craniofacial surgery.

The most frequent complication was postoperative hyperthermia of undetermined origin Posterior skull surgery in craniosynostosis.

The technique is similar to the previously described 32 and included an extensive pterional resection. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: Hearing preservation in the removal of intracanalicular acoustic neuromas via the retrosigmoid approach.

Type I comprised endoscopic assisted osteotomies for sagittal synostosis craneohomia cases. In regard to hydrocephalus, we inserted a VP shunt after the initial treatment of the synostosis.


Abordaje retrosigmoideo

ICP cransotomia was a powerful method that assisted to plan our surgical treatment, especially in cases of recurrence in multiple craniosynostosis. The polyesterurethane used was extracted from the protective polyfoam of the drug boxes.

A CSF shunt was inserted before surgical correction of the craniosynostosis in 12 patients and after the cranial procedure in 10 further instances. Endoscope-assisted retrosigmoid intradural suprameatal approach to the middle fossa: Surgical Treatment for Trigeminal neuralgia.

Vestibular neurectomy in the guinea-pig: It is of note that longer periods of hospital stay are related to a higher rate of complications Table VII.

Value of the mixed supra petrous and retrosigmoid approach]. In summary, the infection rate for the whole series was 7. An unexpected error occurred.

Repeat radiosurgery for refractory trigeminal neuralgia. Arch Otolaryngol Head Neck Surg.


Infectious complications of craniofacial surgery in children. Intracranial complications Table IV. Critical assessment of operative approaches for hearing preservation in small acoustic neuroma surgery: Clin Neurosurg ; Image-guided surgical planning using anatomical landmarks in the retrosigmoid approach.

These 2 patients died one year after surgery. The types of procedure with the lowest number of complications were endoscopy assisted suturectomy followed by standard frontoorbital advancement, fronto-orbital remodelling in trigonocephaly and fronto-orbital remodelling craneotlmia anterior plagiocephaly.

Retrosigmoid-internal auditory canal approach vs.

These techniques could be used in the less severe cases. Both patients had undergone ICP monitoring before having been diagnosed with chronic intracranial crwneotomia.


There were 3 dural tears that were repaired “in situ” and 8 cases of local CSF leakage Fig. Fronto-orbital remodelling without orbito-naso-frontal bandeau. Clin Plast Surg; ; Finally, mean hospitalization time in the whole series was Central venous line infections were present tecnicaa 7 cases 5. This method was performed in 30 patients 8 reoperations with a mean age of 9 months and comprised 10 cases with non-syndromic multi-suture craniosynostosis and 15 with craniofacial syndromes 5 Crouzon, 5 Apert, 3 Pfeiffer and 2 Saethre-Chotzen.

Get cutting-edge science videos from J o VE sent straight to your inbox every month. Se analizaron 50 pacientes, los otros 10 no se incluyeron por no contar con expediente completo.

In cases with tecniva frontal bulging, shell osteotomies in the frontal bone or complete dismantling and remodelling were added to the standard technique type III.

J Neurosurg ; 9: Endoscopicassisted osteotomies for the treatment of craniosynostosis. It consisted of extensive frontal, parietal and occipital craniotomies to achieve a complete vault remodelling performed through a bicoronal incision.

The histomorphologic sequence of dural repair.

Latterly, 6 children were considered as a poor end-result.