Ripatti, Liisi MD, PhD*; Blair, Richard MD, DDS*,†; Serlo, Willy MD‡. The Dura Split Technique in the Treatment of Craniosynostosis: Is It Still an Option?. The Journal of Craniofacial Surgery 33(5):p 1514-1516, July/August 2022. | DOI: 10.1097/SCS.0000000000008449
The dura split technique in the treatment of craniosynostosis : is it still an option?
|Author:||Ripatti, Liisi1; Blair, Richard1,2; Serlo, Willy3|
1Department of Pediatric Surgery, Turku University Hospital, Turku
2Lohja Healthcare Center, Lohja
3Pedego Research Unit, University of Oulu, Department of Children and Adolescents, Oulu University Hospital, MRC Oulu, Oulu, Finland
|Online Access:||PDF Full Text (PDF, 0.5 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2023050239804
|Publish Date:|| 2023-05-02
Background: The aim of this study was to report the outcome and the complications for patients operated on for craniosynostosis using the dura split technique. Specifically, the authors aimed to evaluate the safety of this technique, which is currently not in use, and to determine whether it is still useable.
Methods: The data was collected from the hospital patient records of all children surgically treated for craniosynostosis using the dura split technique in Turku University Hospital during the period 1975 to 2015. The data was analyzed to determine the clinical and radiological outcomes of the surgical procedure, the need for reoperations, and the rate of complications.
Results: During the study period, the dura split technique was used in the surgery of 65 patients. The outcome was either good or acceptable in most patients and reoperation was needed in only 2 patients (3.1%). Surgical complications included significant blood loss (26.2%), lesions on the inner layer of the dura (21.5%), leakage of cerebrospinal fluid (13.8%), and persistent bone defects (15.4% on palpation and 63.1% radiologically).
Conclusions: Although the outcome of surgery for craniosynostosis using the dura split technique was mostly acceptable and the need for reoperations rare, the technique cannot, however, be recommended in the future due to high rates of bone defects, frequent problems with lesions on the inner layer of the dura, and consequent perioperative leakage of cerebrospinal fluid.
Journal of craniofacial surgery
|Pages:||1514 - 1516|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3126 Surgery, anesthesiology, intensive care, radiology
WS has received State Research Funding from Oulu University Hospital and LR State Research Funding from Turku University Hospital.
© 2022 by Mutaz B. Habal, MD. This is a non-final version of an article published in final form in Ripatti, Liisi MD, PhD; Blair, Richard MD, DDS; Serlo, Willy MD. The Dura Split Technique in the Treatment of Craniosynostosis: Is It Still an Option?. The Journal of Craniofacial Surgery 33(5):p 1514-1516, July/August 2022. | DOI: 10.1097/SCS.0000000000008449.