Surgical Options for Different Types of Craniosynostosis

Introduction Craniosynostosis is defined as the premature closure of a cranial suture which causes abnormal calvarial growth. Skull growth is arrested in the direction perpendicular to the fused suture and expanded at the sites of unaffected sutures, leading to characteristic calvarial deformations. Material and Methods Ten patients with craniosynostosis were treated in our clinic between November 2011 and November 2014. Nine of them were with nonsyndromic and one of them was with syndromic craniosynostosis. Of these patients 8 (80%) were boys and 2 (20%) were girls. The patient's age at the time of surgical treatment ranged between 4 and 8 months. Depending on the shape of the head 6 patients were with scaphocephaly, 2 patients with anterior plagiocephaly 1, one patient with trigonocephaly and 1 patient with oxicephaly. Results All patients are well. There were no significant complications. We have achieved satisfying shape of the head in all cases. In a few cases was required blood transfusion. Conclusion Careful preoperative planning must include a discussion of which bones are to be removed, whether or not the supraorbital rim requires reconstruction, and if decompression of neural structures is required. If the operation is on the metopic or the coronal sutures, the exposure will need to be based anteriorly. If the operation is on the sagittal suture or the lambdoidal suture, the exposure will need to be based more posteriorly, although at times the frontal region may also require reconstruction.