The Craniostenosis (Craniosynostosis or Craniofaciostenosi) is the premature fusion of one or more sutures that make up the time and the cranial base. This involves alterations in the growth of the skull, found in an abnormal morphology of the head.
Considering that the brain in early life has a remarkable development an impediment to its growth involves important issues. Simple craniosynostosis is defined as pathological situation in which only one suture is closed early, when they are involved in more complex sutures.
The plagiocephaly may be true (from the closing of the suture) or false (plagiocephaly location). syndromic craniosynostosis
Modern is crucial to address these malformations, given the complexity of the issues related to them, using a multidisciplinary approach. The protocol followed by our center provides:
In our center, in agreement with other authors (Posnick, Wolfe, etc.) and comforted by our study and the results obtained, we prefer to wait for 9 -11 months of life. In case of signs of increased intracranial pressure and / or compression of the optic nerve intervention is necessary in the same moment of diagnosis. .
The surgery, with the exception of scaphocephaly, provides a bilateral frontal craniotomy and removal bandeau fronto orbital that are reshaped to counter and repositioned through the use of resorbable plates and screws (SonicWeld Rx Martin). The use of such devices is of fundamental importance in pediatric age as the active growth of the cranial bones in the centrifugal direction determines the migration towards the inside of any device not resorbable. This observation has demonstrated clinically in cases undergoing reoperation.