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Published on: February 5, 2019
Treatment of plagiocephaly in infancy
Insights
Early diagnosis and correction of plagiocephaly, often caused by single coronal suture synostosis, are crucial. Modern craniofacial reconstruction offers excellent cosmetic outcomes for all ages.
Area of Science:
- Craniofacial surgery
- Pediatric neurosurgery
- Plastic surgery
Background:
- Plagiocephaly, frequently linked to single coronal suture synostosis, causes progressive cosmetic deformities.
- Deformities are more challenging to correct in older individuals, emphasizing the need for early intervention.
Purpose of the Study:
- To highlight the importance of early diagnosis and correction of plagiocephaly.
- To discuss the evolution of surgical techniques for plagiocephaly correction.
Main Methods:
- Review of historical and current craniofacial surgical techniques for plagiocephaly.
- Evaluation of outcomes associated with linear craniectomies versus modern orbitocranial reconstruction.
Main Results:
- Linear craniectomies have historically provided suboptimal cosmetic results.
- Current extensive orbitocranial reconstruction techniques yield excellent cosmetic outcomes.
- These advanced techniques are safe and effective for both infants and older children.
Conclusions:
- Early diagnosis and surgical correction are vital for managing plagiocephaly deformities.
- Modern craniofacial reconstruction techniques provide superior cosmetic results and are standard in specialized centers.
Abstract:
Plagiocephaly is commonly attributed to the synostosis of a single coronal suture. Esthetic deformities associated with plagiocephaly range from mild to severe. Because the deformities are progressive, and more difficult to correct in older children and adults, early diagnosis and correction are important. Linear craniectomies, previously widely practiced, have not yielded good results. Current craniofacial techniques allow extensive orbitocranial reconstruction, which can be done safely in infants and in older children as well. These techniques have produced excellent cosmetic results and are routinely used in craniofacial centers.
