Renier D, Sainte-Rose C, Marchac D, Hirsch JF (1982) Intracranial pressure in craniostenosis. Specifically, prompt identification and proactive management of potential infectious complications is critical to applying this technique safely in these patients.Ĭraniosynostosis Distraction osteogenesis Immunosuppression. Although we have demonstrated successful cranial vault expansion with distraction in two immunosuppressed children, extra care must be taken with these patients when placing semi-buried hardware. Immunosuppressive therapy has the potential to inhibit wound healing and place patients at risk for wound infection. Both patients achieved successful cranial vault expansion with distraction osteogenesis and at a 2-year follow-up do not have evidence of elevated intracranial pressure. Following removal of the distractors, he developed an infection at one of the distractor sites with associated fever and leukocytosis, necessitating washout and drain placement. He underwent a posterior cranial vault distraction without complication. Imaging revealed bicoronal and sagittal craniosynostosis. The second patient was a 2-year-old boy who received a heart transplantation at the age of 3 months and subsequently presented with head shape concerns. Her postoperative course was complicated by distractor site infection at the beginning of consolidation, necessitating early removal of distractors. She underwent posterior cranial vault distraction extending into a Chiari decompression. The first patient was a 3-year-old girl who received a kidney transplantation in infancy and subsequently presented with a symptomatic Chiari malformation and papilledema. A detailed examination of their medical/transplant history and perioperative details were recorded. Two solid-organ transplant recipient patients with multisuture craniosynostosis were identified.
We describe our experience with posterior cranial vault distraction in two patients with multisuture craniosynostosis that had previously undergone organ transplantation. Surgical management of multisuture craniosynostosis in therapeutically immunosuppressed patients following a solid organ transplant presents unique challenges. With this increased use comes an expanding range of indications. Cranial distraction osteogenesis is a relatively new procedure for treatment of these patients, with its use increasing in many centers. See and for more information.The treatment of patients with multisuture craniosynostosis is complex and patient-dependent. , a Speed Digital company, is a collector car content and classified website that provides daily original content and 100% verified collector cars for sale. As a global leader, Speed Digital provides software, website, and digital marketing solutions for collectors, dealers, auctions, and hobbyists. Speed Digital is a Charlotte, NC based technology company that focuses on the classic and collector car industry. Auction Assets Group is the online auction arm of the company which regularly hosts online specialty vehicle auctions. The Vault is a Jackson, MS based company whose services include, but are not limited to, collector car sales, consignment, storage, service, and restoration. Speed Digital, Motorious parent company, designed the website and provided marketing for The Vault and Auction Assets Group. Not only was this Galaxie a working clone of one of the police cruisers from The Andy Griffith Show, it was also signed by the late Don Knotts, who played Sheriff Barney Fife. There were plenty of affordable collector cars including the limited-production 2015 Alfa Romeo 4C Launch Edition that sold for $42,787, a cool 1953 MG TD that sold for $15,750 and a 1964 Ford Galaxie 500 police car that sold for $17,325. Not everything auctioned off was a six-figure car, though. and just 40 miles on the odometer) that hammered for $213,000, a 2005 Ford GT with 616 miles that sold for $278,000 and a 1970 Plymouth Superbird with a 440 V8 and 21,000 actual miles at $198,000. Other high-value cars that were auctioned off include the Maybach (one of 75 in the U.S.
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