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Updated: Jun 25, 2026

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
Published on: November 4, 2025
Is isolated sagittal synostosis an isolated condition?
Liselotte Butzelaar1, Corstiaan C Breugem, Patrick Hanlo
1Division of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Scaphocephaly, the most common craniosynostosis, rarely associates with other congenital anomalies. Preterm birth and male sex are linked to isolated sagittal synostosis.
Area of Science:
- Craniofacial Surgery
- Pediatric Genetics
- Congenital Anomalies
Background:
- Scaphocephaly is the most common form of craniosynostosis.
- Limited medical literature exists on scaphocephaly's association with other congenital anomalies.
Purpose of the Study:
- To investigate the prevalence of genetic anomalies in patients with scaphocephaly.
- To identify potential associated factors and congenital malformations.
Main Methods:
- Retrospective review of medical charts for 30 consecutive scaphocephaly patients.
- Parental questionnaires to gather demographic information.
- Genetic analysis performed on a subset of patients.
Main Results:
- A low incidence of associated congenital anomalies was observed.
- One patient with Gorlin-Goltz syndrome had an FGFR-2 gene mutation.
- Congenital heart and kidney malformations were noted in two patients.
- Associated factors for isolated sagittal synostosis included preterm birth and male sex.
Conclusions:
- Congenital anomalies are infrequently associated with scaphocephaly.
- Preterm birth and male sex are identified as associated factors for isolated sagittal synostosis.
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