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Traditionally, the first surgical procedure to enlarge the vault in an infant with Apert syndrome was the fronto-orbital advancement. In 2009, teams from two large craniofacial centers located in Philadelphia (USA) and Rotterdam (Netherlands) both switched to a routine posterior vault expansion with distraction. The outcomes of this procedure have significantly improved—with fewer reoperations and a lower prevalence of raised intracranial pressure and/or Chiari malformation during follow-up—while the rate of complications has remained low.

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Management of the Posterior Vault

  • 章节

  • 出版模式：

    开放获取

  • 发表日期：

    2026年

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  • Irene M. J. Mathijssen,
  • Marie-Lise C. van Veelen,
  • Jesse A. Taylor,
  • Allison C. Hu,
  • Jordan W. Swanson,
  • Ben B. Massenburg,
  • Hamilton Matushita

摘要

Traditionally, the first surgical procedure to enlarge the vault in an infant with Apert syndrome was the fronto-orbital advancement. In 2009, teams from two large craniofacial centers located in Philadelphia (USA) and Rotterdam (Netherlands) both switched to a routine posterior vault expansion with distraction. The outcomes of this procedure have significantly improved—with fewer reoperations and a lower prevalence of raised intracranial pressure and/or Chiari malformation during follow-up—while the rate of complications has remained low.