Development of Calvarial Bone Osteomyelitis in a Noonan Syndrome Patient Following Fronto-Orbital Advancement of Craniosynostosis: A Novel Technique of Treatment Using Povidone and Hydrogen Peroxide Solutions

被引：0

作者：

Altweijri, Ikhlass S. ^{[1
]}

Alhumsi, Taghreed R. ^{[2
]}

Alsahli, Abdullah S. ^{[3
]}

Al Jabr, Faisal A. ^{[4
]}

Alkuwaity, Dana W. ^{[5
]}

机构：

[1] King Khalid Univ Hosp, Neurosurg Div, Pediat Neurosurg, Riyadh, Saudi Arabia

[2] Plast Surg Dept, The Clinics, Riyadh, Saudi Arabia

[3] Secur Forces Hosp, Neurosurg Dept, Med Serv Minist, Riyadh, Saudi Arabia

[4] King Fahad Hosp, Plast Surg Dept, Al Hufuf, Saudi Arabia

[5] King Faisal Univ, Surg Dept, Al Hufuf, Saudi Arabia

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 01期

关键词：

osteomyelitis; fronto-orbital advancement; novel technique; noonan syndrome; craniosynostosis;

D O I：

10.7759/cureus.52719

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This is a case of a pediatric patient with Noonan syndrome (NS) and craniosynostosis who developed calvarial bone osteomyelitis following corrective surgery. Despite complications, such as postoperative bleeding and infections, including osteomyelitis, multidisciplinary management strategies were employed, including antibiotics, debridement, and novel use of hydrogen peroxide and povidone solutions due to bone thinning. The discussion highlights challenges in managing syndromic craniosynostosis, emphasizing the importance of tailored approaches and prophylactic antibiotics. The innovative treatment approach using hydrogen peroxide and povidone presents a potential alternative for bone infections and osteomyelitis postcranial reconstruction, offering insights for future management strategies. Lessons learned regarding infection rates and novel treatment modalities contribute to evolving approaches in managing complications in syndromic craniosynostosis.

引用

页数：9