{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T04:10:27Z","timestamp":1778731827309,"version":"3.51.4"},"reference-count":30,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec>\n<jats:title>OBJECT<\/jats:title>\n<jats:p>Although distraction osteogenesis (DO) requires a secondary procedure in the surgical correction of craniosynostosis, it is relatively simple, requires less transfusion, results in a shorter intensive care unit stay, and is quite safe. Because of these positive factors, various DO techniques have been developed. However, there is disagreement regarding the superiority of DO. The authors reported on a new DO technique, transsutural DO (TSDO), 6 years ago that was performed in 23 patients over a period of 6 months, and it continues to be used at the present time. In this paper the authors report the results of TSDO performed in 285 patients with craniosynostosis over a period of 6 years at a single institution.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>TSDO consists of a simple suturectomy of the pathological suture followed by direct distraction of the suturectomy site only. Types of TSDO conducted included sagittal TSDO in 95 patients, bicoronal in 14, unilateral coronal in 57, lambdoid in 26, metopic in 13, multiple in 19, syndromic in 33, and secondary in 28. The mean age (\u00b1 SD) of the patients was 19.4 \u00b1 23.0 months, and mean follow-up was 39.5 \u00b1 21.0 months.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>The mean operating time was 115 \u00b1 43 minutes, and mean anesthesia time was 218 \u00b1 56 minutes. The mean transfusion volume of red blood cell components was 48 \u00b1 58 ml, and mean transfusion volume of fresh-frozen plasma was 19 \u00b1 35 ml. Total transfusion volume was significantly less in infants younger than 12 months of age and in children with lower lumbar puncture pressures (p &lt; 0.05). Complications included 1 (0.4%) death from postoperative acute pneumonia after a distractor removal operation and 23 (8%) surgical morbidities comprising 10 revisions (3.5%) and 13 early removals of distracters (4.6%).<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>TSDO is a simple, effective, and safe method to use for treating all types of craniosynostosis. Some morbidity was experienced in this study, but it may be attributed to the learning curve of the technique.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.5.peds14585","type":"journal-article","created":{"date-parts":[[2015,9,18]],"date-time":"2015-09-18T13:59:13Z","timestamp":1442584753000},"page":"230-239","source":"Crossref","is-referenced-by-count":14,"title":["Transsutural distraction osteogenesis for 285 children with craniosynostosis: a single-institution experience"],"prefix":"10.3171","volume":"17","author":[{"given":"Dong Ha","family":"Park","sequence":"first","affiliation":[{"name":"Departments of Plastic and Reconstructive Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soo Han","family":"Yoon","sequence":"additional","affiliation":[{"name":"Neurosurgery, Ajou University School of Medicine, Suwon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds14585","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1159\/000094064","article-title":"Treatment of craniosynostosis by distraction osteogenesis","volume":"42","author":"Akai","year":"2006"},{"key":"b2-peds14585","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1097\/00001665-200401000-00034","article-title":"Distraction osteogenesis of the cranial vault for the treatment of craniofacial synostosis","volume":"15","author":"Cho","year":"2004"},{"key":"b3-peds14585","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1097\/SCS.0b013e3181c3469d","article-title":"Outcome analysis of our first 75 spring-assisted surgeries for scaphocephaly","volume":"21","author":"David","year":"2010"},{"key":"b4-peds14585","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1097\/00001665-200409000-00021","article-title":"Spring-mediated cranial reshaping for craniosynostosis","volume":"15","author":"David","year":"2004"},{"key":"b5-peds14585","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1421","DOI":"10.1007\/s00381-008-0691-8","article-title":"Complications in the surgical treatment of craniosynostosis and craniofacial syndromes: apropos of 306 transcranial procedures","volume":"24","author":"Esparza","year":"2008"},{"key":"b6-peds14585","series-title":"Neurocirugia (Astur)","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1016\/S1130-1473(08)70201-X","article-title":"Surgical treatment of isolated and syndromic craniosynostosis. 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