Posterior cranial vault distraction osteogenesis: A systematic review
Purpose: Posterior cranial vault distraction osteogenesis (PCVDO) has become the treatment of choice in specific indications within 12 years since its introduction in 2009. It is used to treat or prevent Intracranial hypertension secondary to craniosynostosis. However, there is still a lack of evide...
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| Language: | English |
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Elsevier
2022-11-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426822001361 |
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| author | Sameer Pandey Gosla S. Reddy Ashi Chug Ashutosh Dixit |
| author_facet | Sameer Pandey Gosla S. Reddy Ashi Chug Ashutosh Dixit |
| author_sort | Sameer Pandey |
| collection | DOAJ |
| description | Purpose: Posterior cranial vault distraction osteogenesis (PCVDO) has become the treatment of choice in specific indications within 12 years since its introduction in 2009. It is used to treat or prevent Intracranial hypertension secondary to craniosynostosis. However, there is still a lack of evidence describing this procedure's safety concerning the osteotomy line being close to the torcula. This systematic review aims to generate evidence regarding the safety of this new technique. Materials and method: A systematic search of Pubmed and Embase database were done without any time limit until the last search date of July 31, 2021. Articles focused on posterior cranial vault distraction osteogenesis were shortlisted using defined inclusion criteria. In addition, complications, volume gain, and distraction protocols in patients with craniosynostosis were assessed. Results: The review included 11 articles from 11 different centres. Of the Total 241 patients, 51 were non-syndromic patients, and 190 were syndromic patients. There were 242 procedures done on 241 patients. The proportion of patients with complications was 30%. Wound infection was the most commonly reported complication. PCVDO resulted in 20–25% volume gain and successfully prevented increased intracranial pressure (ICP). Conclusion: The systematic review has significantly identified a 30.606% incidence of complications in PCVDO. No mortality was linked directly to the Posterior cranial vault distraction osteogenesis procedure (PCVDO). The authors identified the evolution of many unique vectors and osteotomy designs customized for patients and practices for safe surgery. The effects of PCVDO on the anterior cranial fossa remain a topic of interest and require observational studies for better understanding. |
| format | Article |
| id | doaj-art-245c7aa4d44f4c72ba832f2b63cf1f41 |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-245c7aa4d44f4c72ba832f2b63cf1f412024-11-23T06:29:42ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-11-01126823832Posterior cranial vault distraction osteogenesis: A systematic reviewSameer Pandey0Gosla S. Reddy1Ashi Chug2Ashutosh Dixit3Department of Dentistry, All India Institute of Medical Sciences, Rishikesh, India; Corresponding author.Department of Dentistry, All India Institute of Medical Sciences, Rishikesh, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, All India Institute of Medical Sciences, Rishikesh, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, All India Institute of Medical Sciences, Rishikesh, IndiaPurpose: Posterior cranial vault distraction osteogenesis (PCVDO) has become the treatment of choice in specific indications within 12 years since its introduction in 2009. It is used to treat or prevent Intracranial hypertension secondary to craniosynostosis. However, there is still a lack of evidence describing this procedure's safety concerning the osteotomy line being close to the torcula. This systematic review aims to generate evidence regarding the safety of this new technique. Materials and method: A systematic search of Pubmed and Embase database were done without any time limit until the last search date of July 31, 2021. Articles focused on posterior cranial vault distraction osteogenesis were shortlisted using defined inclusion criteria. In addition, complications, volume gain, and distraction protocols in patients with craniosynostosis were assessed. Results: The review included 11 articles from 11 different centres. Of the Total 241 patients, 51 were non-syndromic patients, and 190 were syndromic patients. There were 242 procedures done on 241 patients. The proportion of patients with complications was 30%. Wound infection was the most commonly reported complication. PCVDO resulted in 20–25% volume gain and successfully prevented increased intracranial pressure (ICP). Conclusion: The systematic review has significantly identified a 30.606% incidence of complications in PCVDO. No mortality was linked directly to the Posterior cranial vault distraction osteogenesis procedure (PCVDO). The authors identified the evolution of many unique vectors and osteotomy designs customized for patients and practices for safe surgery. The effects of PCVDO on the anterior cranial fossa remain a topic of interest and require observational studies for better understanding.http://www.sciencedirect.com/science/article/pii/S2212426822001361Posterior cranial vault distraction osteogenesis (PCVDO)CraniosynostosisIntracranial pressure (ICP)Fronto-orbital advancement (FOA)Distraction |
| spellingShingle | Sameer Pandey Gosla S. Reddy Ashi Chug Ashutosh Dixit Posterior cranial vault distraction osteogenesis: A systematic review Journal of Oral Biology and Craniofacial Research Posterior cranial vault distraction osteogenesis (PCVDO) Craniosynostosis Intracranial pressure (ICP) Fronto-orbital advancement (FOA) Distraction |
| title | Posterior cranial vault distraction osteogenesis: A systematic review |
| title_full | Posterior cranial vault distraction osteogenesis: A systematic review |
| title_fullStr | Posterior cranial vault distraction osteogenesis: A systematic review |
| title_full_unstemmed | Posterior cranial vault distraction osteogenesis: A systematic review |
| title_short | Posterior cranial vault distraction osteogenesis: A systematic review |
| title_sort | posterior cranial vault distraction osteogenesis a systematic review |
| topic | Posterior cranial vault distraction osteogenesis (PCVDO) Craniosynostosis Intracranial pressure (ICP) Fronto-orbital advancement (FOA) Distraction |
| url | http://www.sciencedirect.com/science/article/pii/S2212426822001361 |
| work_keys_str_mv | AT sameerpandey posteriorcranialvaultdistractionosteogenesisasystematicreview AT goslasreddy posteriorcranialvaultdistractionosteogenesisasystematicreview AT ashichug posteriorcranialvaultdistractionosteogenesisasystematicreview AT ashutoshdixit posteriorcranialvaultdistractionosteogenesisasystematicreview |