Craniofacial Reconstruction of the Skull in Anterior Plagiocephaly: A Case Report

Spazzapan, Peter; Bošnjak, Roman; Velnar, Tomaž

doi:10.9734/bjmmr/2016/28075

Cited by 3 publications

(4 citation statements)

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“…In the case when bicoronal fusion closes prematurely, the condition is called brachycephaly. Here, the head is typically shorter and wider [18,31,35,[44][45][46].…”

Section: Anterior Plagiocephalymentioning

confidence: 99%

Craniosynostosis - Recognition, clinical characteristics, and treatment

Kajdič

Spazzapan

Velnar

2017

Bosn J of Basic Med Sci

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151

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Craniosynostosis is a developmental craniofacial anomaly, resulting in impairment of brain development and abnormally shaped skull. The main cause of craniosynostosis is premature closure of one or more cranial sutures. It usually occurs as an isolated condition, but may also be associated with other malformations as part of complex syndromes. When left untreated, craniosynostosis can cause serious complications, such as developmental delay, facial abnormality, sensory, respiratory and neurological dysfunction, anomalies affecting the eye, and psychological disturbances. Thus, early diagnosis, expert surgical techniques, postoperative care, and adequate follow-up are of vital importance in treating craniosynostosis.

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“…In the case when bicoronal fusion closes prematurely, the condition is called brachycephaly. Here, the head is typically shorter and wider [18,31,35,[44][45][46].…”

Section: Anterior Plagiocephalymentioning

confidence: 99%

Craniosynostosis - Recognition, clinical characteristics, and treatment

Kajdič

Spazzapan

Velnar

2017

Bosn J of Basic Med Sci

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151

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“…In the vast majority of nonsyndromic craniosynostosis, a single skull remodelling procedure is sufficient, but it has to be performed in ideal intervals of time. For scaphocephaly the ideal age for surgery in our experience was between three and six months of age [3,15,16]. By performing the procedure so early, the brain has enough growth potential to shape the skull on its own.…”

Section: Discussionmentioning

confidence: 99%

“…The frontoorbital advancement (FOA) is used for metopic and coronal craniosynostosis [12][13][14] and the posterior vault expansions for lambdoid craniosynostosis [6,7]. Biparietal or total cranial vault remodelling techniques are used in scaphocephaly [3,15,16]. In syndromic cases, Chiari malformation, intracranial hypertension, hydrocephalus and central or peripheral apneas are often present and must be considered during the planning of the correct treatment [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Craniofacial reconstructions in children with craniosynostosis

Spazzapan¹,

Kočar²,

Eberlinc³

et al. 2022

J. Integr. Neurosci.

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Background: Craniosynostosis is a rare congenital disease of the skull. They arise when one or more cranial sutures ossify prematurely. This causes an obstruction to normal brain growth and leads to specific deformations of the skull, which may result in intracranial hypertension and cognitive delay. Materials and methods: We have retrospectively analysed all children treated at the Unit of paediatric neurosurgery of the University Medical Centre Ljubljana between June 2015 and September 2020. The following items have been recorded: affected suture, underlying syndromic condition, hydrocephalus, Chiari malformation, raised intracranial pressure, age at surgery, surgical technique, need for multiple operations and surgical complications. Results: During the study period, 71 children have been treated for craniosynostosis. The median postoperative follow-up was 31 months. There were: 54.9% sagittal, 25.3% metopic, 14.0% unicoronal, 1.4% bicoronal and 1.4% unilateral lambdoid craniosynostosis. Multiple sutures were affected in 2.8% cases. 7.0% of the cases were syndromic. Overall, 74 surgical procedures have been performed: frontoorbital advancement represented 40.5% of them; biparietal remodelling 32.4%: total cranial vault remodelling 22.9%; posterior distraction 2.7%; posterior expansion 1.3%. Median age at surgery was 12.8 months. Conclusions: The treatment of craniosynostosis is surgical and requires a multidisciplinary approach, with expertise in plastic and reconstructive surgery, maxillofacial surgery and neurosurgery. The aim of surgical treatment is to release the constrictive and deformative effect that the synostosis has on skull growth. This requires a remodelling of the neurocranium and, if necessary, of the viscerocranium. Beyond aesthetic purposes, the primary aim of surgical treatment is to permit a normal development of the brain.

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“…Additional findings include flat cheeks on the side of synostosis and nasal septum deviation towards the normal side. It is more common in girls than in boys (M:F::2:1) (31,32,33,(34)(35)(36). Poster ior plagiocephaly is a unilateral lambdoid synostosis.…”

Section: Discussionmentioning

confidence: 99%