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Suture Autotransplantation and Dural Stripping for Craniosynostosis: A Long-Term Growth Study in Humans

Mommaerts, Maurice Y. MD, PhD*; De Vos, Wouter MD, MSc

doi: 10.1097/SCS.0000000000002096
Brief Clinical Studies
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Objective: Craniosynostosis treatment by suture autotransplantation and dura stripping has proven to be successful in animals. When applied clinically, it may reduce operative morbidity and postoperative growth disturbances known to occur after radical remodeling. It may prevent resynostosis, which is known to occur after simple synostostectomy. It may prevent subcutaneous fluid collections known to occur after synostectomy and dura stripping.

Study design: Four synostostic infants have been treated using this concept and followed up by computerized scans. The distance between markers on each side of the transplanted sutures (6 in total) has been monitored from 1.5 to 7 years.

Results: The transplanted suture areas remained intact, and the sutures remained patent and experienced growth. A fifth patient with similar results was published earlier as a case report.

Conclusions: Suture transplantation and dural stripping should be further studied in future multicenter studies with larger series, comprising syndromic and nonsyndromic synostosis patients.

*European Face Centre, University of Brussels, Brussels, Belgium

Southampton University Hospitals NHS Trust, Southampton, UK.

Address correspondence and reprint requests to Prof Maurice Y. Mommaerts, MD, DMD, European Face Centre/Universitair Ziekenhuis Brussel, Laarbeeklaan 101, B-1090 Brussel, Belgium; E-mail: Maurice.mommaerts@uzbrussel.be

Received 11 May, 2014

Accepted 9 July, 2015

The authors formerly collaborated at the Bruges Cleft and Craniofacial Centre of the General Hospital St. John, Bruges, Belgium (coordinator: M.Y.M.), where this study was conducted.

The authors report no conflict of interest.

© 2015 by Mutaz B. Habal, MD.