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[Plagiocephaly with telorbitism]
1Clinica Oftalmologică Craiova.
Oftalmologia (Bucharest, Romania : 1990)
|July 1, 1995
Insights
A 5-year-old child with plagiocephaly and telorbitism experienced eye deviation and facial asymmetry. Early unilateral coronal synostosis caused this craniostenosis, leading to interorbital space malformation.
Area of Science:
- Pediatric Neurology
- Craniofacial Surgery
- Ophthalmology
Background:
- Plagiocephaly, a condition involving skull asymmetry, can arise from premature fusion of skull sutures (craniostenosis).
- Telorbitism, characterized by widely spaced eyes, can be associated with various craniofacial anomalies.
- Craniostenosis, specifically unilateral coronal synostosis, can impact facial development and cranial base morphology.
Observation:
- A 5-year-old child presented with right eye deviation (exotropia) and noticeable facial asymmetry.
- Clinical examination and radiological imaging were performed to investigate the presenting symptoms.
- The patient exhibited signs consistent with both plagiocephaly and telorbitism.
Findings:
- Diagnosis of plagiocephaly with telorbitism was established through clinical and radiological evaluation.
- Plagiocephaly was identified as a craniostenosis resulting from early unilateral synostosis of the coronal suture.
- This premature fusion of the coronal suture was determined to be the underlying cause of the interorbital space malformation.
Implications:
- This case highlights the link between craniostenosis and ocular and facial deformities in pediatric patients.
- Early diagnosis and intervention for craniostenosis may be crucial for preventing or mitigating associated craniofacial and ophthalmologic issues.
- Understanding the pathogenesis of plagiocephaly secondary to coronal synostosis is vital for surgical planning and improving patient outcomes.
Abstract:
The case of a 5-year-old child, who is hospitalized for right eye deviation in divergence and facial asymmetry, is presented. The clinical exam together with the radiologic exploration, form the diagnosis of plagiocephaly with telorbitism. The plagiocephaly is a craniostenosis determined by early unilateral synostosis of the coronal link, and it is the cause of the malformation of interorbital space.