Parameters of care for craniosynostosis: Dental and orthodontic perspectives

Vargervik, Karin; Rubin, Marcie S.; Grayson, Barry H.; Figueroa, Álvaro A.; Kreiborg, Sven; Shirley, J.C.; Simmons, Katharine B.

doi:10.1016/j.ajodo.2011.12.013

Cited by 32 publications

(35 citation statements)

References 15 publications

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“…Children with syndromatic and non‐syndromatic craniosynostosis have been recommended to be treated at a craniofacial centre and followed by a multidisciplinary team throughout the growth period . Dental and orthodontic recommendations also exist . According to our study, the role of the orthodontist is in the craniofacial team is emphasized.…”

Section: Discussionmentioning

confidence: 89%

Craniofacial cephalometric morphology in 8‐year‐old children with operated sagittal synostosis

Heliövaara

Vuola

Hukki

2014

Orthod Craniofacial Res

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Section: Discussionmentioning

confidence: 89%

Craniofacial cephalometric morphology in 8‐year‐old children with operated sagittal synostosis

Heliövaara

Vuola

Hukki

2014

Orthod Craniofacial Res

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“…5 Moreover, multiple reconstructive surgeries requiring the coordination of dental and orthodontic specialists may be necessary after the infancy period. 6,7 Various types of neurological pathophysiology, including elevated intracranial pressure, hydrocephalus and Chiari malformations in growing children can cause brain damage associated with neurologic and cognitive dysfunction. 8 All of these facts support the rationale for prenatal diagnosis of craniosynostosis.…”

mentioning

confidence: 99%

Prenatal sonographic findings and prognosis of craniosynostosis diagnosed during the fetal and neonatal periods

Aya

Miyashita

Nagai³

et al. 2018

Congenital Anomalies

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The aim of the study was to explore the sonographic findings of fetuses with craniosynostosis and investigate their prognosis. We conducted a 5-year, multicenter retrospective study and collected data on patients with craniosynostosis diagnosed in the perinatal period. Of 41 cases, 30 cases (73%) were syndromic craniosynostosis, eight cases (20%) were non-syndromic craniosynostosis and the other three cases (7%) were secondary craniosynostosis of chromosomal deletion syndromes. The prenatal ultrasound detection rate was 61%. Half of the cases of syndromic craniosynostosis detected during the perinatal period were Pfeiffer syndrome; there were also six cases of Apert syndrome, three cases of Crouzon syndrome and other rare form of syndromic craniosynostosis (Beare-Stevenson syndrome, Saethre-Chotzen syndrome, cranioectodermal dysplasia, and thanatophoric dysplasia). Abnormal shape of the skull was the most common finding leading to prenatal diagnosis of craniosynostosis. Abnormal head biometry, which was the second most frequent finding, was closely correlated with deformation of the cranial shape. Three cases presented with ventriculomegaly and exophthalmos but normal cranial shape and size. The overall survival rate of infants with syndromic craniosynostosis was 79%, while all of the infants with non-syndromic craniosynostosis survived. In conclusion, prenatal diagnosis of craniosynostosis is difficult, especially when dysmorphic change of the fetal cranium is not evident. Abnormal head biometry and ventriculomegaly could potentially be additional markers of fetal craniosynostosis and consequently increase the prenatal detection rate.

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“…19 Skull base and the shape and circumstance outline of head was analyzed on the cranio-caudal axel of the 3D endocranial surface rendering with superior view on cut plane enabling visualization of the entire endocranial skull base. The 36 ectocranial shape redering was analyzed on the posterior view.…”

Section: Methodsmentioning

confidence: 99%

Lambdoid Synostosis Versus Positional Posterior Plagiocephaly, a Comparison of Skull Base and Shape of Calvarium Using Computed Tomography Imaging

Hurmerinta

Kiukkonen

Hukki

et al. 2015

Journal of Craniofacial Surgery

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The differential diagnostics between the common positional posterior plagiocephaly and relatively rare lambdoid synostosis is important due to the differences in their treatment plan and clinical management. However, the clinical criteria for the diagnosis of lambdoid synostosis are not clear since there is a considerable overlap in the features of positional posterior plagiocephaly and unilateral lambdoid synostosis. To systematically evaluate the clinical findings in these 2 patient groups, we quantitatively compared the characteristics of endocranial skull base and ectocranial calvarium in 3D computed tomography, in 9 children (mean age 2.9 years) with unilateral lambdoid synostosis and 9 children with positional posterior plagiocephaly. The groups were sex and age matched. Our results show that the skull bases in the lambdoid synostosis are posteriorly shorter and more twisted than in positional posterior plagiocephaly. Anterior twisting was mild in both skull types. Our study confirmed earlier suggested diagnostic feature: prominent ipsilateral mastoidal bossing downward and laterally in all lambdoid skulls. In positional posterior plagiocephaly the bossing was typically not detected. Interestingly, there was a great variation in the position of the ipsilateral ear and external auditory meatus in both patient groups. Thus, neither antero-posterior nor vertical position of ear is a reliable differential diagnostic feature between lambdoid synostosis or positional posterior plagiocephaly.

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Parameters of care for craniosynostosis: Dental and orthodontic perspectives

Cited by 32 publications

References 15 publications

Craniofacial cephalometric morphology in 8‐year‐old children with operated sagittal synostosis

Craniofacial cephalometric morphology in 8‐year‐old children with operated sagittal synostosis

Prenatal sonographic findings and prognosis of craniosynostosis diagnosed during the fetal and neonatal periods

Lambdoid Synostosis Versus Positional Posterior Plagiocephaly, a Comparison of Skull Base and Shape of Calvarium Using Computed Tomography Imaging

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