Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis

Josie Z. Fazzino, BA; Esperanza Mantilla-Rivas, MD; Joseph H. Talbet, BA; Elina Kapoor, BA; Monica Manrique, MD; Jennifer L. McGrath, MD; Suresh N. Magge, MD; Albert K. Oh, MD; Gary F. Rogers, MD, JD, LLM, MBA, MPH

doi:10.1097/GOX.0000000000003127

Plastic and Reconstructive Surgery, Global Open (Sep 2020)

Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis

Josie Z. Fazzino, BA,
Esperanza Mantilla-Rivas, MD,
Joseph H. Talbet, BA,
Elina Kapoor, BA,
Monica Manrique, MD,
Jennifer L. McGrath, MD,
Suresh N. Magge, MD,
Albert K. Oh, MD,
Gary F. Rogers, MD, JD, LLM, MBA, MPH

Affiliations

Josie Z. Fazzino, BA: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and
Esperanza Mantilla-Rivas, MD: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and
Joseph H. Talbet, BA: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and
Elina Kapoor, BA: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and
Monica Manrique, MD: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and
Jennifer L. McGrath, MD: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and
Suresh N. Magge, MD: † Department of Neurosurgery, Children’s National Hospital, Washington, D.C.
Albert K. Oh, MD: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and
Gary F. Rogers, MD, JD, LLM, MBA, MPH: From the * Department of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, D.C. and

DOI: https://doi.org/10.1097/GOX.0000000000003127
Journal volume & issue: Vol. 8, no. 9
p. e3127

Abstract

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Summary:. Premature fusion of a cranial suture is known to result in characteristic changes in the head shape, even when the synostosis involves only part of the suture. We report an unusual case of a patient seen at the age of 2 months for an abnormal head shape that was present at birth. The phenotype was consistent with an isolated fusion of the frontosphenoidal suture, but the suture was open on a high-resolution computed tomography scan finding. There was no improvement in cranial form after 6 months of helmet therapy, and a follow-up computed tomography scan image taken at age 10 months showed the development of bilateral isolated frontosphenoidal synostosis. This case highlights that an abnormal head shape may, in some patients, predate radiographic evidence of craniosynostosis.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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