caa a22 4500 463181018 CHVBK 20180406164839.0 cr unu---uuuuu 170326e20070201xx s 000 0 eng 10.1007/s00381-006-0209-1 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0209-1 Distraction vs remodeling surgery for craniosynostosis [Elektronische Daten] [Seong-Woong Kim, Kyu-Won Shim, Nick Plesnila, Yong-Oock Kim, Joong-Uhn Choi, Dong-Seok Kim] Objects: We designed several distraction devices and applied these instruments in 14 patients with varying types of craniosynostosis. The aim of this report is to clarify the advantages and disadvantages of these surgical methods and to discuss current concepts for the surgical strategy in the treatment of craniosynostosis. Methods: From January 2000 to July 2005, 28 patients with craniosynostosis were retrospectively analyzed. Surgical treatment was performed on 14 patients using the distraction method with internal distraction devices that we designed, in which 5 patients had plagiocephaly, 3 brachycephaly, and 6 scaphocephaly. All patients underwent preoperative and postoperative evaluations, which included the patient's neurological state, and three-dimensional CT. Results: With distraction devices, the time required for the surgery could be shortened almost 3 1/3h; the bleeding during the surgery was decreased with reduced requirement of more than 200ml of blood transfusion as compared with remodeling surgery. Postoperatively achieved distraction distances varied from 30.0 to 47.5mm (mean, 42.99mm). The average increased volume percent of cranium in distraction surgery group was 20.9% (range, −11.5 to 58.9%) after full distraction. Conclusion: With distraction surgery, satisfactory cranial volume expansion and aesthetically pleasing morphological states were achieved in all cases, and the efficacy was statistically significantly high as compared with remodeling method. Springer-Verlag, 2006 Craniosynostosis nationallicence Distraction osteogenesis nationallicence Statistical analysis nationallicence Kim Seong-Woong Institute for Surgical Research, Ludwig Maximilian University, Munich, Germany aut Shim Kyu-Won Department of Neurosurgery, Brain Korea 21 Project of Medical Science, Institute for Brain Research, College of Medicine, Yonsei University, Seoul, South Korea aut Plesnila Nick Institute for Surgical Research, Ludwig Maximilian University, Munich, Germany aut Kim Yong-Oock Department of Plastic Surgery, College of Medicine, Yonsei University, Seoul, South Korea aut Choi Joong-Uhn Department of Neurosurgery, Brain Korea 21 Project of Medical Science, Institute for Brain Research, College of Medicine, Yonsei University, Seoul, South Korea aut Kim Dong-Seok Brain Korea 21 Project of Medical Science, Institute for Brain Research, College of Medicine, Yonsei University, Seoul, South Korea aut Child's Nervous System Springer-Verlag 23/2(2007-02-01), 201-206 0256-7040 23:2<201 2007 23 381 https://doi.org/10.1007/s00381-006-0209-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0209-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kim Seong-Woong Institute for Surgical Research, Ludwig Maximilian University, Munich, Germany aut NATIONALLICENCE 700 1- Shim Kyu-Won Department of Neurosurgery, Brain Korea 21 Project of Medical Science, Institute for Brain Research, College of Medicine, Yonsei University, Seoul, South Korea aut NATIONALLICENCE 700 1- Plesnila Nick Institute for Surgical Research, Ludwig Maximilian University, Munich, Germany aut NATIONALLICENCE 700 1- Kim Yong-Oock Department of Plastic Surgery, College of Medicine, Yonsei University, Seoul, South Korea aut NATIONALLICENCE 700 1- Choi Joong-Uhn Department of Neurosurgery, Brain Korea 21 Project of Medical Science, Institute for Brain Research, College of Medicine, Yonsei University, Seoul, South Korea aut NATIONALLICENCE 700 1- Kim Dong-Seok Brain Korea 21 Project of Medical Science, Institute for Brain Research, College of Medicine, Yonsei University, Seoul, South Korea aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/2(2007-02-01), 201-206 0256-7040 23:2<201 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer