This is called positional plagiocephaly, or “flat head syndrome.”īrachycephaly and Plagiocephaly Craniosynostosis vs Plagiocephaly (flat head syndrome) Sometimes, a baby’s head will become misshapen when they spend a lot of time on their back, or because of problems with their neck muscles (torticollis). The medical team works with the child’s family to provide education and guidance to improve the health and well-being of the child. The degree of the problems depends on the severity of the craniosynostosis, the number of sutures that are fused, and the presence of brain or other organ system problems that could affect the child.Ī child with craniosynostosis requires frequent medical evaluations to ensure that the skull, facial bones and brain are developing normally. Some forms of craniosynostosis can affect the brain and its development. The key to treating craniosynostosis is early detection and treatment. What is the long-term outlook for a child with craniosynostosis? These complications require prompt evaluation by your child’s surgeon. Redness and swelling along the incision areas.Fever (greater than 101 degrees F) – this is very common.The child may experience any or all of the following complications: Problems after surgery may occur suddenly or over a period of time. Most children go to the intensive care unit (ICU) after the operation for close monitoring. Following the operation, it is common for children to have a very swollen face and eyelids. Babies typically go home from the hospital the next day and will wear a temporary helmet.įor older children with craniosynostosis, CHOC neurosurgeons are the regional leaders in performing an open procedure to correct your child’s head shape, with immediate results. Two small incisions are made and a small strip of bone is removed, to allow the head to grow normally. The goal of treatment is to reduce the pressure in the head and correct the deformities of the face and skull bones.įor babies up to 6 months of age, CHOC is the only hospital in the region to offer a minimally invasive, endoscopic procedure. Surgery is typically the recommended treatment for craniosynostosis. This can make the forehead look pointed, like a triangle, and the eyes look like they are too close together. Early closure of this suture may cause a prominent ridge running down the forehead. This suture runs from the top of the head down the middle of the forehead, toward the nose. The eye on the affected side may also be misshapen and the back of the head may also be flattened.Ī fusion of the metopic suture. It creates a flattened forehead and brow on the affected side, with the forehead tending to be overly prominent on the other side. The skull is long from front to back and narrow from ear to ear.Ī fusion of the coronal suture, which limits the normal forehead and brow growth. This suture runs front to back, down the middle of the top of the head. This is the most common type of synostosis. Each type is named for the suture that has fused prematurely in the infant’s skull, resulting in craniosynostosis.Īn early closure of fusion of the sagittal suture. There are 3 different types of craniosynostosis: Sagittal, Coronal and Metopic. What are the different types of craniosynostosis? Always consult your child’s doctor for a diagnosis. The symptoms of craniosynostosis may resemble other conditions or medical problems. Bulging eyes and the child’s inability to look upward with the head facing forward.Full or bulging fontanelle (soft spot located on the top of the head).Symptoms of craniosynostosis with increased pressure in the skull include: This is especially true when multiple sutures are fused too early. Occasionally, synostosis can increase pressure within the skull. These changes cause an asymmetry in a child’s head and face that cause it to appear different from side to side. This is often the most noticeable or only symptom of this condition in infants. The most common symptom of craniosynostosis in infants is changes in the shape of the head and face. What are the symptoms of craniosynostosis? It occurs in one out of 2,000 live births and affects males slightly more often than females. Mayo Clinic 2021.The cause of craniosynostosis is often unknown but can be related to genetic disorders or inherited genetically. Craniosynostosis and positional plagiocephaly (infant). Craniofacial surgery for congenital and acquired deformities. In: Heading Home With Your Newborn: From Birth to Reality. Infant cranial deformity: Cranial helmet therapy or physiotherapy? International Journal of Environmental Research and Public Health. Evidence-based guidelines for the treatment of pediatric positional plagiocephaly.
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