S ingle-suture craniosynostosis (SSC) is a common craniofacial condition with potential neurocognitive sequelae. Because patients usually present in infancy and surgical correction is typically performed by one year of age, most of the research in this area has focused on neurodevelopment in preschool-age children (1-6). There is a relative paucity of data regarding the performance of these children in later school years. Such information would be valuable in anticipating potential educational difficulties in this population and in implementing the appropriate educational resources. Analyzing individualized education programs (IEPs) is one way to track what special education services these students are requiring because each IEP is "a written, legal document that describes all of the special education and related services that an eligible [United State's] student receives" (7). We hypothesized that elementary and secondary school-age children with a history of SSC require special education services as indicated by the need for IEPs in higher proportion than the general United States student population, despite having previously undergone surgical treatment. Another aim of the present study was to describe which specific educational areas were targeted most frequently by the educational goals defined in the IEPs of these children.
METHODSAfter obtaining approval from the University Health Sciences Institutional Review Board, the Division of Plastic Surgery's Craniofacial patient database was reviewed from May 1992 through December 2011. A total of 283 patients met the study inclusion criteria at the time of study commencement: school-age (≥5 years of age), previous diagnosis of SSC and history of surgical intervention for craniosynostosis at the University Hospital. The patients' legal guardians were contacted by telephone and read a standardized script asking for their verbal consent to be mailed the standardized study questionnaire. The process of obtaining a waiver of documentation of consent had been completed through the university institutional review board. The study questionnaire asked the legal guardian about demographic BACKgROUND: Single-suture craniosynostosis (SSC) is a common craniofacial condition with potential neurocognitive sequelae. OBJECTIVE: To quantify any long-term functional academic and behavioural difficulties of children with SSC as indicated by the need for individualized education programs (IEPs), despite having undergone surgical treatment.
METHODS:Records of all school-age patients from 1992 to 2011 who underwent operative intervention for SSC were identified. Fifty-nine patients' guardians were contacted by telephone to provide informed consent for completion of a mailed standardized questionnaire querying demographic information as well as information regarding the patient's health, family and educational history; specifically whether the patient had ever been provided educational support as delineated in an IEP. The primary outcome measure was the history of the patient being ass...