To discuss possible reasons for the synostosis of a coronal suture that was transplanted onto synostosis inducing dura in a scaphocephalic human cranium.
Design:
Case report.
Setting:
Supraregional teaching hospital, center for craniofacial anomalies.
Patient:
A bathmocephalic boy, followed from age 7½ to 26 months.
Intervention:
Radical synostosectomy, radial osteotomies in the parietal bone with outward fracturing of the barrel staves, and left-sided coronal suture transplantation onto the midline was undertaken at the age of 11 months.
Methods:
Computer tomography and clinical follow-up.
Results:
The sutural graft, initially deprived from tensile stress and quickly exposed to the anomalous dura, turned synostotic in one year.
Conclusions:
Both cell signaling and biomechanical theories on calvarial morphogenesis, sutural development, and synostosis can apply. An animal experiment is recommended to test which hypothesis prevails.
AkitaS.HiranoA.FujiiT.Identification of IGF-I in the calvarial sutures of young rats: histochemical analysis of the cranial sagittal sutures in a hyperthyroid rat model.Plast Reconstr Surg.1996; 87: 1–12.
2.
BablerW.J.Role of cranial sutures in normal and abnormal skull development.Neurosurg Clin North Am.1991; 2: 539–549.
3.
BablerW.J.PersingJ.A.PerssonK.M.WinnR.H.JaneJ.A.RodeheaverG.T.Skull growth after coronal suturectomy, periostectomy, and dural transsection.J Neurosurg.1982; 56: 529–535.
4.
BerryC.L.A view of neurospinal dysraphism.Virchows Archiv a Pathol Anat.1992; 420: 375–36, 1992.
5.
BradleyJ.P.HanV.K.RothD.A.LevineJ.P.McCarthyJ.G.LongakerM.T.Increased IGF-I and IGF-II mRNA and IGF-I peptide in fusing rat cranial sutures suggest evidence for a paracrine role of insulin-like growth factors in suture fusion.Plast Reconstr Surg.1999; 104: 129–138.
6.
BradleyJ.P.LevineJ.P.McCarthyJ.G.LongakerM.T.Studies in cranial suture biology: regional dura mater determines in vitro cranial suture fusion.Plast Reconstr Surg.1997; 100: 1091–1099.
7.
CohenM.M.Jr.Sutural biology and the correlates of craniosynostosis.Am J Med Genet.1993; 47: 581–616.
8.
de CosterT.Transplantations réciproques de sutures craniennes et faciales chez le cobaye: une évaluation histologique.Orthod Fr.1989; 60, 543–557.
9.
De PollackC.RenierD.HottM.MarieP.J.Increased bone formation and osteoblastic cell phenotype in premature cranial suture ossification (craniosynostosis).J Bone Miner Res.1996; 11: 401–407.
10.
DutraT.F.BernardG.W.Size-selective comparison of fetal calvarial versus adult marrow osteogenic colony-forming entities.Anat Rec.1994; 239: 1–8.
11.
EngdahlE.Bone regeneration in maxillary defects. An experimental investigation on the significance of the periosteum and various media (blood, Surgicel, bone marrow and bone grafts) on bone formation and maxillary growth.Scand J Plast Reconstr Surg.1972; 8(suppl): 1–79.
12.
EngdahlE.RitsiläV.UddströmerL.Growth potential of cranial suture bone autografts. I. An experimental macroscopic investigation in young rabbits.Scand J Plast Reconstr Surg.1978a; 12: 119–123.
13.
EngdahlE.RitsiläV.UddströmerL.Growth potential of cranial suture bone autografts. II. An experimental microscopic investigation in young rabbits.Scand J Plast Reconstr Surg.1978b; 12: 125–129.
14.
FriedeH.Normal development and growth of the human neurocranium and cranial base.Scand J Plast Reconstr Surg.1981; 15: 163–169.
15.
GiblinN.AlleyA.Studies in skull growth. Coronal suture fixation.Anat Rec.1944; 88: 143–153.
16.
HobarP.C.SchreiberJ.S.McCarthyJ.G.ThomasP.A.The role of the dura in cranial bone regeneration in the immature animal.Plast Reconstr Surg.1993; 92: 405–410.
17.
JohansenV.HallS.H.Morphogenesis of the mouse coronal suture.Acta Anat.1982; 114: 58–67.
18.
LathamR.A.The septo-premaxillary ligament and maxillary development.J Anat.1969; 104: 584.
19.
LewisE.A.IrvingJ.T.An autoradiographic investigation of bone remodeling in the rat calvarium grown in organ culture.Arch Oral Biol.1970; 15: 769–776.
20.
MabbuttL.W.KokichV.G.Calvarial and sutural re-development following craniectomy in the neonatal rabbit.J Anat.1979; 129: 413–422.
21.
MaggiG.AlbertiF.PittoreL.Occipital remolding for correction of scaphocephaly in the young infant. Technical note.J Neurosurg Sci.1998; 42: 119–22.
22.
MarchacD.RenierD.Craniofacial Surgery for Craniosynostosis.Boston: Little, Brown;1982.
23.
MarchacD.RenierD.Treatment of craniosynostosis in infancy.Clin Plast Surg.1987; 14: 61–72.
24.
MarkensI.S.Transplantation of the future coronal suture on the dura mater of 3- to 4-month-old rats.Acta Anat.1975; 93: 29–44.
25.
MarkensI.S.OudhofH.A.J.A study on the occurrence of alkaline phosphatase in the sutura interfrontalis of Wistar rats.Acta Anat (Basel).1979; 104: 431–438.
26.
MarkensI.S.OudhofH.A.J.Morphological changes in the coronal suture after replantation.Acta Anat. (Basel)1980; 107: 289–296.
27.
MarkensI.S.TaverneA.A.R.Development of cartilage in transplanted future coronal sutures.Acta Anat.1978; 100: 428–434.
28.
MaugansT.A.McCombJ.G.LevyM.L.Surgical management of sagittal synostosis: a comparative analysis of strip craniectomy and calvarial vault remodeling.Pediatr Neurosurg.1997; 27: 137–148.
29.
MehraraB.J.GreenwaldJ.ChinG.S.DudziakM.SagriogluJ.SteinbrechD.S.SaadehP.B.GittesG.K.LongakerM.T.Regional differentiation of rat cranial suture-derived dural cells is dependent on association with fusing and patent sutures.Plast Reconstr Surg.1999a; 104: 1003–1013.
30.
MehraraB.J.SteinbrechD.S.SaadehP.B.GittesG.K.LongakerM.T.Expression of high-affinity receptors for TGF-beta during rat cranial suture fusion.Ann Plast Surg.1999b; 42: 502–508.
31.
MossM.L.Experimental alteration of sutural area morphology.Anat Rec.1957; 127: 569–589.
32.
MossM.L.Functional anatomy of cranial synostosis.Childs Brain.1975; 1: 22–33.
33.
MossM.L.Growth of the calvaria in the rat. The determination of osseous morphology.Am J Anat.1954; 94: 333–361.
34.
MossM.L.Inhibition and stimulation of sutural fusion in the rat calvaria.Anat Rec.1960; 136: 457–467.
35.
MossM.L.The functional matrix. In: KrausB.S.RiedelR.A., eds. Vistas in Orthodontics.Philadelphia: Lea and Febiger, Inc.;1962: 89–98.
OppermanL.A.ChhabraNolenA.A.BaoY.OgleR.C.Dura mater maintains rat cranial sutures in vitro by regulating suture cell proliferation and collagen production.J Craniofac Genet Dev Biol.1998; 18: 150–158.
41.
OppermanL.A.SweeneyT.M.RedmonJ.PersingJ.A.OgleR.C.Tissue interactions with underlying dura mater inhibit osseous obliteration of developing cranial sutures.Dev Dyn.1993; 198: 312–322.
OudhofH.A.J.MarkensI.S.Transplantation of the interfrontal suture in the Wistar rat.Acta Anat (Basel).1982; 113: 39–46.
44.
PenslerJ.M.IvescuA.S.RadosevichJ.A.Scaphocephaly: premature closure of the sagittal suture: a localized disorder of cellular metabolism?Ann Plast Surg.1998; 40: 48–52.
45.
PenslerJ.M.LedesmaD.F.HijaawiJ.RadosevichJ.A.Plagiocephaly: premature unilateral closure of the coronal suture: a potentially localized disorder of cellular metabolism.Ann Plast Surg.1994; 32: 160–165.
46.
PenslerJ.M.PatelP.K.LangmanC.B.Osteoblast-directed osteoclast metabolism from patients with premature coronal synostosis.Plast Reconstr Surg.1997; 99: 1518–1521.
47.
PersingJ.A.EdgertonM.T.JaneJ.A.Scientific Foundations and Surgical Treatment of Craniosynostosis.Baltimore: Williams and Wilkins;1989.
48.
PerssonK.M.RoyW.PersingJ.A.RodeheaverG.T.WinnH.R.Craniofacial growth following experimental craniosynostosis and craniectomy in rabbits.J Neurosurg.1979; 50: 187–197.
49.
PritchardJ.J.ScottJ.H.GirgisF.G.The structure and development of cranial and facial sutures.J Anat.1956; 90: 73–86.
50.
RaphaëlB.LebeauJ.BettegaG.PassagiaJ.G.RichardM.Chirurgie des malformations craniofaciales. Techniques chirurgicales—Chirurgie plastique, reconstructrice et esthétique.Encycl Méd Chir.Paris: Elsevier; 1999; 45-570: 26.
51.
RitsiläV.LaineP.RantaR.Experimental study of preservation and adaptation of growth of cranial suture-bone graft in premaxillo-maxillary defects.IRCS Med Sci.1977; 5: 245–256.
52.
RothD.A.GoldL.I.HanV.K.McCarthyJ.G.SungJ.J.WisoffJ.H.LongakerM.T.Immunolocalization of transforming growth factor beta 1, beta 2, and beta 3 and insulin-like growth factor I in premature cranial suture fusion.Plast Reconstr Surg.1997a; 99: 300–309.
53.
RothD.A.LongakerM.T.McCarthyK.G.RosenD.M.McMullenH.F.LevineJ.P.SungJ.GoldL.I.Studies in cranial suture biology: Part I. Increased immunoreactivity for TGF-beta isoforms (beta 1, beta 2, and beta 3) during rat cranial suture fusion.J Bone Miner Res.1997b; 12: 311–321.
54.
RyöppyS.Transplantation of epiphyseal cartilage and cranial suture. Experimental studies on the preservation of the growth capacity in growing bone grafts.Acta Orthop Scand.1965; 82(suppl): 1–107.
55.
ShapiroR.RobinsonF.The embryogenesis of the human skull.Cambridge, MA: Harvard University Press;1980.
56.
SilauA.M.Fischer HansenB.KjaerI.Normal prenatal development of the human parietal bone and interparietal suture.J Craniofac Genet Dev Biol.1995; 15: 81–86.
57.
SirolaK.Regeneration of defects in the calvaria. An experimental study.Ann Med Exp Fenn.1960; 38(Suppl 2): 1–87.
58.
SmithD.W.TonduryG.Origin of the calvaria and its sutures.Am J Dis Child.1978; 132: 662–666.
59.
SmithH.G.McKeownM.Experimental alteration of the coronal sutural area: a histological and quantitative microscopic assessment.J Anat.1974; 118: 543–559.
StrickerM.Van der MeulenJ.RaphaelB.MazzolaR.Craniofacial Malformations.Edinburgh: Churchill Livingstone;1989: 228.
62.
TroitzkyW.L.Zur Frage der Formbildung des Schädeldaches (experimentelle Untersuchung der Schädeldachnähte und damit verbundenen Erscheinungen).Z Morph Anthrop.1932; 30: 504–532.
63.
WaitzmanA.A.PosnickJ.C.ArmstrongD.C.PronG.E.Craniofacial skeletal measurements based on computed tomography: Part II. Normal values and growth trends.Cleft Palate Craniofac J.1992; 29: 118–28.
64.
WashburnS.L.The relation of the temporal muscle to the form of the skull.Anat Rec.1947; 99: 239–248.
65.
WatanabeM.LaskinD.M.BrodieA.G.The effects of autotransplantation on growth of the zygomaticomaxillary suture.Am J Anat.1957; 100: 319–355.
66.
YoungR.W.The influence of cranial contents on postnatal growth of the skull in the rat.Am J Anat.1959; 105: 383–410.
