Craniosynostosis

Craniosynostosis is a premature pathologic fusion of one or more cranial vault sutures that leads to abnormal shape of the skull. The fused sutures lead to restricted growth in some areas and compensatory bossing in other areas. The head may assume different shapes depending upon the site and timing...

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Main Author: Ramesh Kumar Sharma
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2013-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=1;spage=18;epage=27;aulast=Sharma
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author_facet Ramesh Kumar Sharma
author_sort Ramesh Kumar Sharma
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description Craniosynostosis is a premature pathologic fusion of one or more cranial vault sutures that leads to abnormal shape of the skull. The fused sutures lead to restricted growth in some areas and compensatory bossing in other areas. The head may assume different shapes depending upon the site and timing of the abnormally fused suture. The exact cause of this suture pathology is still unknown, but the local dura, cranial base and the fibroblast growth factors seem to influence this. The diagnosis rests on clinical examination and confirmation is generally on the computed tomography scan. The need for surgery is both for cosmetic and functional reasons. Many cases may be associated with raised intracranial pressure with its attendant deleterious effects on vision and brain. The aim of treatment is to increase the cranial volume and reshape the skull. The surgery can be safely undertaken around 9-12 months in most of the cases. The conventional management is through an open surgical approach; although, some centres have claimed impressive results with limited endoscopic techniques in selected cases. The review article deals with the aetiopathogenesis, clinical presentations and management of the common varieties of craniosynostoses seen in the Indian scenario.
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spelling doaj.art-fa6087ad7f754cca912182f35312862c2022-12-22T01:38:25ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2013-01-01461182710.4103/0970-0358.113702CraniosynostosisRamesh Kumar SharmaCraniosynostosis is a premature pathologic fusion of one or more cranial vault sutures that leads to abnormal shape of the skull. The fused sutures lead to restricted growth in some areas and compensatory bossing in other areas. The head may assume different shapes depending upon the site and timing of the abnormally fused suture. The exact cause of this suture pathology is still unknown, but the local dura, cranial base and the fibroblast growth factors seem to influence this. The diagnosis rests on clinical examination and confirmation is generally on the computed tomography scan. The need for surgery is both for cosmetic and functional reasons. Many cases may be associated with raised intracranial pressure with its attendant deleterious effects on vision and brain. The aim of treatment is to increase the cranial volume and reshape the skull. The surgery can be safely undertaken around 9-12 months in most of the cases. The conventional management is through an open surgical approach; although, some centres have claimed impressive results with limited endoscopic techniques in selected cases. The review article deals with the aetiopathogenesis, clinical presentations and management of the common varieties of craniosynostoses seen in the Indian scenario.http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=1;spage=18;epage=27;aulast=SharmaAbnormal skull shapescosmetic and functional issuescranioplastyfronto-orbital advancementpremature suture fusion
spellingShingle Ramesh Kumar Sharma
Craniosynostosis
Indian Journal of Plastic Surgery
Abnormal skull shapes
cosmetic and functional issues
cranioplasty
fronto-orbital advancement
premature suture fusion
title Craniosynostosis
title_full Craniosynostosis
title_fullStr Craniosynostosis
title_full_unstemmed Craniosynostosis
title_short Craniosynostosis
title_sort craniosynostosis
topic Abnormal skull shapes
cosmetic and functional issues
cranioplasty
fronto-orbital advancement
premature suture fusion
url http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=1;spage=18;epage=27;aulast=Sharma
work_keys_str_mv AT rameshkumarsharma craniosynostosis