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Related Experiment Videos

[Plagiocephaly. Craniofacial asymmetry with variable curling-up].

A Czorny1, H Yettou, P Forlodou

  • 1Unité de Neurochirurgie Pédiatrique, Hôpital Saint-Julien, Nancy.

Neuro-Chirurgie
|January 1, 1988
PubMed
Summary

Plagiocephaly syndrome, an asymmetrical cranial deformity, results from premature coronal hemi-suture synostosis. Surgical intervention involving bilateral orbito-fronto-nasal osteotomy and specific bone resections is recommended for optimal facial and cranial harmony.

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Neurosurgery
  • Developmental Biology

Context:

  • Plagiocephaly syndrome involves asymmetrical cranial deformity caused by premature synostosis of a coronal hemi-suture.
  • The primary alteration is observed at the spheno-frontal suture, impacting the fronto-orbital region.

Purpose:

  • To classify plagiocephaly and differentiate it from complex craniofacial deformities.
  • To highlight the clinical and radiological diagnostic approaches for plagiocephaly.
  • To emphasize the therapeutic benefits of bilateral orbito-fronto-nasal osteotomy and specific surgical techniques.

Summary:

  • The study classifies plagiocephaly, distinguishing isolated forms from those with hypertelorism and complex deformities.
  • Clinical and radiological investigations are crucial, with orbital and ophthalmologic issues prevalent in 88% of cases.

Related Experiment Videos

  • A bilateral orbito-fronto-nasal osteotomy, combined with sphenoid bone and dura mater resection, is proposed for improved short- and long-term outcomes.

    • Impact:

    • The recommended surgical approach aims to restore facial and cranial symmetry.
    • Abolishing the synostotic lock through specific resections facilitates brain remodeling in growing children.
    • Evaluation of outcomes and complications in 44 surgically treated children provides essential clinical data.