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Treatment of bilateral coronal synostosis in infancy: a holistic approach
J A Persing1, J A Jane, J B Delashaw
1Department of Neurological Surgery, University of Virginia School of Medicine, Charlottesville.
Insights
Bilateral coronal synostosis can cause a turribrachycephalic skull shape. A novel surgical technique effectively reduces skull height and elongates the anteroposterior axis in one procedure, preserving brain function.
Area of Science:
- Craniofacial surgery
- Pediatric neurosurgery
- Skeletal biology
Background:
- Bilateral coronal synostosis frequently leads to a turribrachycephalic skull deformity.
- This condition necessitates interventions to normalize skull morphology and ensure adequate brain development.
Purpose of the Study:
- To describe a single-stage surgical technique for correcting turribrachycephalic skull shape caused by bilateral coronal synostosis.
- To achieve reduction in skull height and elongation of the skull's anteroposterior axis.
Main Methods:
- A specific surgical approach is detailed for addressing bilateral coronal synostosis.
- The technique aims to remodel the skull while safeguarding cerebral function.
Main Results:
- The described surgical technique successfully corrects the turribrachycephalic skull shape.
- Therapeutic goals of reduced skull height and normalized anteroposterior axis length are met.
Conclusions:
- A single operative procedure can effectively treat turribrachycephalic skull deformity resulting from bilateral coronal synostosis.
- The technique balances aesthetic correction with the preservation of critical neurological function.
Abstract:
Bilateral coronal synostosis often results in a turribrachycephalic skull shape. Reduction of skull height and elongation of the anteroposterior axis of the skull while preserving normal cerebral function are the major therapeutic goals. A surgical technique is described which can successfully accomplish these goals in a single operative procedure.