Ultrasound screening of the lambdoid suture in the child with posterior plagiocephaly

Sze, Raymond W.; Parisi, Marguerite T.; Sidhu, Manrita; Paladin, Angelisa M.; Ngo, Anh-Vu; Seidel, Kristy; Weinberger, Ed; Ellenbogen, Richard G.; Gruss, Joseph S.; Cunningham, Michael L.

doi:10.1007/s00247-003-1009-3

Cited by 59 publications

(31 citation statements)

References 25 publications

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“…Previous studies evaluating the accuracy of CUS for evaluation of the cranial sutures have compared CUS with CT. 15,16,18,19,21,23,24 Regelsberger et al 16 reported 100% success of CUS in the detection of craniosynostosis in 26 patients proven to have this condition on CT. Sze et al 24 …”

Section: Discussionmentioning

confidence: 99%

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Cranial Ultrasound as a First-Line Imaging Examination for Craniosynostosis

Rozovsky

Udjus²,

Wilson³

et al. 2016

Pediatrics

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Section: Discussionmentioning

confidence: 99%

“…16,18,19,21,23,24 The lack of a larger series comparing findings of CUS with plain radiographs in this setting may be partly responsible for the underutilization of CUS as a first imaging tool for the detection of craniosynostosis.…”

mentioning

confidence: 99%

Cranial Ultrasound as a First-Line Imaging Examination for Craniosynostosis

Rozovsky

Udjus²,

Wilson³

et al. 2016

Pediatrics

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“…Normal and abnormal sonographic appearance of the cranial sutures in infants was described by Soboleski at al., who showed excellent correlation between histological section, plain radiograph, CT, and MRI findings [7,8]. Ultrasound has been shown to be effective for evaluation of posterior plagiocephaly [16,17]. US evaluation of the cranial sutures is relatively simple technically in a newborn, but can be challenging in older babies due to head motion, more head hair, and narrower sutures.…”

Section: Discussionmentioning

confidence: 92%

Effectiveness of ultrasonographic evaluation of the cranial sutures in children with suspected craniosynostosis

et al. 2008

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Computed tomography (CT) is the 'gold standard' for evaluation of the cranial sutures. While prenatal cranial suture evaluation with ultrasound (US) is common, US has not been established as a postnatal screening tool. We evaluated the effectiveness of US for diagnosis of craniosynostosis (CS). During 2006, 24 infants with questionable CS were assessed with US of the sagittal, metopic, and bilateral coronal and lambdoid sutures. US findings and clinical records were reviewed retrospectively. Sixteen boys and eight girls (ages 1-11 months, mean 4.3) underwent US. The correct diagnosis was provided in 23 (95%), with equivocal findings in one patient. Cranial sutures appeared normal in 15 infants, who had normal clinical presentation at mean 5.8 months follow-up; CT confirmation was obtained in two. In eight children, US identified premature closure of one or more cranial sutures. Three-dimensional CT was performed as a preparation for surgery in four, with classical CS findings. In one case with inconclusive US findings, CT showed narrow but open sutures. Sonographic examination of cranial sutures may serve as a first imaging tool for evaluation of craniosynostosis. CT may be reserved for children with abnormal or equivocal ultrasound and for preoperative planning.

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“…10 Some authors advocate for the use of ultrasound as a way of screening for the patency of sutures in cases of plagiocephaly. 4,7,11,12 Hyperechoic fusion of bones and ridging are characteristic aspects of suture synostosis. 6 It is with this background that we applied ultrasound to try and identify more precisely the lambda in infants undergoing minimally invasive endoscopy-assisted craniectomies for sagittal synostosis.…”

Section: Discussionmentioning

confidence: 99%

Preoperative ultrasound localization of the lambda in patients with scaphocephaly: a technical note for minimally invasive craniectomy

Bonfield

Cochrane

Singhal

et al. 2015

PED

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Sagittal craniosynostosis, the most common single suture craniosynostosis, is treated by numerous surgical techniques. Minimally invasive endoscopy-assisted procedures with postoperative helmeting are being used with reports of good cosmetic outcomes with decreased morbidity, shortened hospital stay, and less blood loss and transfusion. This procedure uses small skin incisions, which must be properly placed to provide safe access to the posterior sagittal and lambdoid sutures. However, the lambda is often hard to palpate through the skin due to the abnormal head shape. The authors describe their experience with the use of intraoperative, preincision ultrasound localization of the lambda in patients with scaphocephaly undergoing a minimally invasive procedure. This simple technique can also be applied to other operations where proper identification of the cranial sutures is necessary.

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Ultrasound screening of the lambdoid suture in the child with posterior plagiocephaly

Abstract: Sonography of the lambdoid sutures shows excellent preliminary promise as a screening test of lambdoid sutural patency.

Cited by 59 publications

References 25 publications

Cranial Ultrasound as a First-Line Imaging Examination for Craniosynostosis

Cranial Ultrasound as a First-Line Imaging Examination for Craniosynostosis

Effectiveness of ultrasonographic evaluation of the cranial sutures in children with suspected craniosynostosis

Preoperative ultrasound localization of the lambda in patients with scaphocephaly: a technical note for minimally invasive craniectomy

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