Craniosynostosis - Recognition, clinical characteristics, and treatment

Kajdič, Nina; Spazzapan, Peter; Velnar, Tomaž

doi:10.17305/bjbms.2017.2083

Cited by 109 publications

(209 citation statements)

References 54 publications

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“…Each of these techniques are used for the correction of craniosynostosis, there are techniques that can be used more frequently depending on the type of craniosynostosis, for the surgical management of complex craniosynostoses, recommendation is directed to perform an interdisciplinary management, since the approach is holistic with decreased risks as well as better functional and aesthetic results (Kajdic et al, 2018).…”

Section: Lambdoid Synostosismentioning

confidence: 99%

Surgical Management of Complex Craniosynostosis, Case Reports Interdisciplinary Experience

Fábián¹,

Paula²,

Jimenez³

et al. 2020

FMCR

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Craniosynostosis, represents the fusion, ossification and sclerosis of one or more cranial sutures, either of the vault or of the base, which cause different degrees of cerebral compression, intracranial hypertension, cognitive deterioration and visual alterations. They can be accompanied by various types of craniofacial dysmorphism, are usually congenital and most require surgery.Matherials and methods: 7 cases of complex craniosynostosis were chosen from formal random, where interdisciplinary management was proposed between the child neurosurgery and maxillofacial surgery team. In this article and / or manuscript we show the satisatory experience with a positive impact on the aesthetic and functional aspect

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Section: Lambdoid Synostosismentioning

confidence: 99%

Surgical Management of Complex Craniosynostosis, Case Reports Interdisciplinary Experience

Fábián¹,

Paula²,

Jimenez³

et al. 2020

FMCR

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“…The most common site of involvement is the sagittal suture, followed by the coronal, metopic, and lambdoid sutures [2, 3]. Depending on the site of suture involvement, different cranial abnormalities have been described in infants with craniosynostosis, including trigonocephaly, brachycephaly, anterior plagiocephaly, posterior plagiocephaly, and scaphocephaly [4, 5]. Additional craniofacial abnormalities are observed in infants with syndromic craniosynostosis, where premature suture fusion occurs as a part of a larger constellation of anomalies [6].…”

Section: Introductionmentioning

confidence: 99%

“…Surgical approaches include open craniotomy with reconstruction or endoscopic intervention. Open surgery is generally performed in infants between 6 and 12 months of age in the absence of signs of increased intracranial pressure [4, 13]. However, infants undergoing surgery are at high risk of significant blood loss and postoperative events requiring intensive care unit admission [14].…”

Section: Introductionmentioning

confidence: 99%

Outcomes following Craniosynostosis Surgery at a Tertiary Care Center in the Middle East

Najjar¹,

AbouChebel

Zeeni

et al. 2021

Pediatr Neurosurg

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Background: Despite advancements in craniosynostosis surgery, open surgical approaches remain crucial for the management of infants >6 months of age and in those with complex synostosis. The clinical features of craniosynostosis remain poorly characterized in the Middle East. This study sought to assess the clinical features and outcomes of infants undergoing craniosynostosis surgery at a tertiary care center in Lebanon. Methods: A retrospective review was performed of all patients who underwent craniosynostosis surgery from December 2006 to December 2018 at the American University of Beirut Medical Center, Lebanon. Clinicodemographic characteristics, complications, and recurrence outcomes were recorded and evaluated using descriptive statistics. Results: Thirty-five infants met the inclusion criteria, with a mean age of 9.0 ± 4.0 months. The most common site of suture involvement was metopic (28.6%), followed by unilateral coronal (25.7%), sagittal (20.0%), bicoronal (8.6%), and multiple sites (17.1%). Five patients (14.3%) had syndromic synostosis. Median estimated blood loss was 200 mL, and median volume of transfused packed red blood cells was 180 mL. Two patients (5.7%) experienced postoperative complications, including postoperative blood transfusion (n = 1)and wire protrusion requiring removal (n = 1). Three patients (8.6%) required reoperation: 2 (5.7%) for resynostosis and 1 for traumatic fracture repair. Caregivers of all patients reported high satisfaction with cosmetic outcomes 4 weeks postoperatively. Conclusions: With appropriate perioperative precautions, open craniosynostosis surgery can be performed with minimal complications, low recurrence rates, and satisfactory cosmetic outcomes. Additional population-level data are needed to better characterize craniosynostosis patterns and outcomes in the Middle East.

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“…Craniosynostosis impairs the growth of the cranial vault perpendicular to the affected suture and leads to compensatory growth at other patent sutures, which may result in abnormal skull shape (Twigg and Wilkie, 2015; Kajdic et al, 2018). Craniosynostosis may lead to intracranial hypertension especially in syndromic cases, as well as sensory, respiratory, and neurodevelopmental difficulties (Knight et al, 2014; Maliepaard et al, 2014; Christian et al, 2015; Twigg and Wilkie, 2015; Kajdic et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Dental Age, Agenesis, and Morphology in Patients With Operated Single-Suture Craniosynostoses

Leinonen

Rice

Leikola

et al. 2020

The Cleft Palate Craniofacial Journal

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Objective: The aim of this study was to evaluate the dental age, agenesis, and morphology of children with surgically operated single-suture craniosynostoses from orthopantomographs. Design: A single-centered cross-sectional observational archival study. Patients: A sample of 196 Finnish patients with single-suture craniosynostosis without additional birth defects or syndromes (excluding Muenke syndrome) was included in this study. Main Outcome Measures: Dental age was assessed using the method developed by Demirjian et al. and modified by Nyström et al. for the Finnish population. Methods described by Tulensalo et al. and Oehlers et al. were used to study taurodontism and dens invaginatus, respectively. Results: The study sample of 149 patients was divided into 3 groups: patients with sagittal synostosis (n = 103), coronal synostosis (n = 25), and metopic synostosis (n = 21). Orthopantomographs taken on average at ages 8.20 to 8.33 were used. The dental ages in different groups were on average 0.37, 0.60, and 0.66 years ahead of normative values, for sagittal, coronal, and metopic groups, respectively. Tooth agenesis, taurodontism, and invaginated teeth were found in all groups with invaginations having a high prevalence. Peg-shaped upper lateral incisors and one geminated lower lateral incisor were also found. Conclusions: These descriptive data may help improve dental care in patients with single-suture craniosynostosis.

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Craniosynostosis - Recognition, clinical characteristics, and treatment

Cited by 109 publications

References 54 publications

Surgical Management of Complex Craniosynostosis, Case Reports Interdisciplinary Experience

Surgical Management of Complex Craniosynostosis, Case Reports Interdisciplinary Experience

Outcomes following Craniosynostosis Surgery at a Tertiary Care Center in the Middle East

Dental Age, Agenesis, and Morphology in Patients With Operated Single-Suture Craniosynostoses

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