Spent the morning in the operating room with Dr. Davalos. As we discussed in a previous post, Dr. Davalos is one of just a few neurosurgeons here in Mexico to specialize in both adult and pediatric neurosurgery procedures. He performs a wide range of procedures such surgery for cerebral tumors, spinal bifida, hydrocephalus, trauma, spinal surgery and epilepsy. But one of the procedures he is best-known for here in Mexicali is the surgical repair of craniosynostosis. However, if you’ve ever watched this intricate procedure – ‘repair’ really isn’t the word that comes to mind to describe the procedure. ‘Rebuild’ is much more appropriate.
Craniosynostosis is a congenital cranial deformity caused by the premature fusion of the cranial sutures. (These sutures allow for the babies head to be slightly compressed during natural childbirth). Many new moms can attest that their neonate’s head was temporarily ‘squashed’ looking at birth, but normalize over the first few days as the bones relax into their natural position. In normal development, these sutures (or ridges where the bones come together) are not yet fused – and fuse over the first few months of life.
When the bones that comprise the skull fuse early, it can result in a significant cranial abnormality. (Luckily, in most cases of [primary] craniosynostosis – the patient’s brain functions normally despite this.)
To treat this surgically, Dr. Davalos had to essentially rebuild part of the skull (the coronal sections of the parietal and frontal bones). He did this by removing and reshaping the skull in separate sections and then rejoining the pieces to conform to a more natural shape. (As a someone who sews, it reminded me of lacing a corset to get curved shaping). In a child of this age – the bones should fuse/ heal within approximately six weeks – with no long term limitations for activities.
Sterility was maintained during the case, and everything proceeded in a rapid and appropriate fashion. Anesthesia was proficient during the case, with excellent hemodynamic stability and oxygenation.
Dr. Enrique Davalos Ruiz, MD
Pediatric and Adult Neurosurgery specialist
Calle B No 248
entre Av. Reforma and Obregon
Mexicali, B. C.