Pseudoclosure of Anterior Fontanelle by Wormian Bone in Isolated Sagittal Craniosynostosis

2006 ◽  
Vol 42 (3) ◽  
pp. 135-137 ◽  
Author(s):  
Deepak Agrawal ◽  
Paul Steinbok ◽  
D. Douglas Cochrane
Cureus ◽  
2017 ◽  
Author(s):  
Jaspreet Johal ◽  
Joe Iwanaga ◽  
Marios Loukas ◽  
R. Shane Tubbs

2016 ◽  
Vol 27 (7) ◽  
pp. 1799-1801
Author(s):  
Thomas H. Reid ◽  
Amy Tam ◽  
Georgia Antoniou ◽  
Juling Ong

2016 ◽  
Vol 137 (5) ◽  
pp. 1557-1565 ◽  
Author(s):  
Curtis S. Bergquist ◽  
Allison C. Nauta ◽  
Nathan R. Selden ◽  
Anna A. Kuang

2021 ◽  
Vol 6 (1) ◽  
pp. e000677
Author(s):  
Evangelia Ntoula ◽  
Daniel Nowinski ◽  
Gerd Holmstrom ◽  
Eva Larsson

AimsCraniosynostosis is a congenital condition characterised by premature fusion of one or more cranial sutures. The aim of this study was to analyse ophthalmic function before and after cranial surgery, in children with various types of non-syndromic craniosynostosis.MethodsChildren referred to Uppsala University Hospital for surgery of non-syndromic craniosynostosis were examined preoperatively. Visual acuity was measured with Preferential Looking tests or observation of fixation and following. Strabismus and eye motility were noted. Refraction was measured in cycloplegia and funduscopy was performed. Follow-up examinations were performed 6–12 months postoperatively at the children’s local hospitals.ResultsOne hundred twenty-two children with mean age 6.2 months were examined preoperatively. Refractive values were similar between the different subtypes of craniosynostosis, except for astigmatism anisometropia which was more common in unicoronal craniosynostosis. Strabismus was found in seven children, of which four had unicoronal craniosynostosis.Postoperatively, 113 children were examined, at mean age 15.9 months. The refractive values decreased, except for astigmatism and anisometropia in unicoronal craniosynostosis. Strabismus remained in unicoronal craniosynostosis. Two new cases with strabismus developed in unicoronal craniosynostosis and one in metopic, all operated with fronto-orbital techniques. No child had disc oedema or pale discs preoperatively or postoperatively.ConclusionOphthalmic dysfunctions were not frequent in children with sagittal craniosynostosis and preoperative ophthalmological evaluation may not be imperative. Children with unicoronal craniosynostosis had the highest prevalence of strabismus and anisometropia. Fronto-orbital techniques used to address skull deformity may be related to a higher prevalence of strabismus postoperatively.


Neurosurgery ◽  
1992 ◽  
Vol 30 (3) ◽  
pp. 441-442 ◽  
Author(s):  
William M. Chadduck ◽  
Frederick A. Boop ◽  
James B. Blankenship ◽  
Muhammad Husain

2011 ◽  
Vol 8 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Manish N. Shah ◽  
Alex A. Kane ◽  
J. Dayne Petersen ◽  
Albert S. Woo ◽  
Sybill D. Naidoo ◽  
...  

Object This study investigated the differences in effectiveness and morbidity between endoscopically assisted wide-vertex strip craniectomy with barrel-stave osteotomies and postoperative helmet therapy versus open calvarial vault reconstruction without helmet therapy for sagittal craniosynostosis. Methods Between 2003 and 2010, the authors prospectively observed 89 children less than 12 months old who were surgically treated for a diagnosis of isolated sagittal synostosis. The endoscopic procedure was offered starting in 2006. The data associated with length of stay, blood loss, transfusion rates, operating times, and cephalic indices were reviewed. Results There were 47 endoscopically treated patients with a mean age at surgery of 3.6 months and 42 patients with open-vault reconstruction whose mean age at surgery was 6.8 months. The mean follow-up time was 13 months for endoscopic versus 25 months for open procedures. The mean operating time for the endoscopic procedure was 88 minutes, versus 179 minutes for the open surgery. The mean blood loss was 29 ml for endoscopic versus 218 ml for open procedures. Three endoscopically treated cases (6.4%) underwent transfusion, whereas all patients with open procedures underwent transfusion, with a mean of 1.6 transfusions per patient. The mean length of stay was 1.2 days for endoscopic and 3.9 days for open procedures. Of endoscopically treated patients completing helmet therapy, the mean duration for helmet therapy was 8.7 months. The mean pre- and postoperative cephalic indices for endoscopic procedures were 68% and 76% at 13 months postoperatively, versus 68% and 77% at 25 months postoperatively for open surgery. Conclusions Endoscopically assisted strip craniectomy offers a safe and effective treatment for sagittal craniosynostosis that is comparable in outcome to calvarial vault reconstruction, with no increase in morbidity and a shorter length of stay.


2013 ◽  
Vol 24 (1) ◽  
pp. 146-149 ◽  
Author(s):  
Philipp Metzler ◽  
Wolfgang Zemann ◽  
Christine Jacobsen ◽  
Klaus Wilhelm Grätz ◽  
Joachim Anton Obwegeser

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jesper Unander-Scharin ◽  
Arja Heliövaara ◽  
Per Enblad ◽  
Junnu Leikola ◽  
Daniel Nowinski

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