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Growing Skull Fractures After Craniosynostosis Repair: Risk Factors and Treatment Algorithm

Zemann, Wolfgang MD, DMD*; Metzler, Philipp MD, DMD*; Jacobsen, Christine MD, DMD*; Kruse, Astrid L. MD, DMD*; Lübbers, Heinz T. MD, DMD*; Könü, Dilek MD; Obwegeser, Joachim A. MD, DMD*

doi: 10.1097/SCS.0b013e31825435d5
Original Articles

Growing skull fractures (GSFs) are rare complications after severe head injuries in the early childhood and rarely occur after craniosynostosis repair. The aim of this study was to define an algorithm for sufficient treatment for GSF after craniofacial procedures. Literature research was performed to clarify risk factors for GSFs after cranial vault reshaping. Conclusions of the literature and experiences of the authors based on a case of GSF after craniofacial surgery were matched to establish guidelines for successful therapy.

From the *Departments of Cranio-Maxillofacial and Oral Surgery and †Neurosurgery, University of Zürich, Zürich, Switzerland.

Received December 26, 2011.

Accepted for publication February 29, 2012.

Address correspondence and reprint requests to Wolfgang Zemann, MD, DMD, Department of Cranio-Maxillofacial and Oral Surgery, University of Zürich, 8091 Zürich, Switzerland; E-mail:

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD