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Related Concept Videos

Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
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Cranial Bones: Superior and Posterior View01:14

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The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
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Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
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Isolated Lambdoid Craniosynostosis.

Vedant Borad1, Emma J Cordes1, Katie M Liljeberg2

  • 1Division of Plastic and Reconstructive Surgery, University of Minnesota, Minneapolis.

The Journal of Craniofacial Surgery
|October 22, 2019
PubMed
Summary
This summary is machine-generated.

Surgical intervention for lambdoid craniosynostosis offers safe and consistent long-term results. Accurate diagnosis and planning are key, but concomitant torticollis requires careful evaluation and management.

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Neurosurgery
  • Plastic Surgery

Background:

  • Lambdoid craniosynostosis, premature fusion of lambdoid sutures, is rare.
  • Surgical management is standard, but long-term outcomes data are limited.
  • This study evaluates long-term surgical outcomes for this condition.

Purpose of the Study:

  • To examine the long-term outcomes of surgical management for isolated lambdoid craniosynostosis.
  • To assess the safety and consistency of surgical interventions.
  • To highlight the association with torticollis.

Main Methods:

  • Retrospective chart review of 25 patients with isolated lambdoid craniosynostosis treated from 1999-2016.
  • Data included demographics, diagnosis, surgical technique (posterior calvarial remodeling +/- barrel stave osteotomies, bone grafts), follow-up duration, complications, and torticollis.
  • Outcomes assessed included head contour improvement and reoperation rates.

Main Results:

  • Mean follow-up was 43.8 months; all patients showed significantly improved head contour.
  • 24% had residual plagiocephaly; reoperation rate was 8%. No major complications occurred.
  • 76% presented with torticollis; 37% required sternocleidomastoid (SCM) release.

Conclusions:

  • Surgical intervention for lambdoid craniosynostosis can yield safe and consistent long-term results with accurate diagnosis and planning.
  • A significant portion of patients have concomitant torticollis, necessitating evaluation and potential intervention.
  • Untreated torticollis can lead to residual facial asymmetry and head shape abnormalities despite successful craniosynostosis repair.