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Publicación de la Asociación Salud, Ciencia y Tecnología

2022, Number 1

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salud ciencia tec 2022; 2 (1)

Craniosynostosis of the coronal suture. Case report and literature review

Vera PLI, Froment BMF, Larrea IMV, Lara PGC, López GMA

Language: Spanish
References: 16
Page:
PDF size: 416.89 Kb.


ABSTRACT

Introduction: craniosynostosis is a pathology identified by the early closure of one or more sutures of the cranial vault causing an evident craniofacial asymmetry, the form will depend on the place and time in which the synostosis occurs; the etiology is unknown, however there are factors involved such as the local dura mater, cranial base and fibroblast growth factors. Its diagnosis can be clinical, ultrasound and the confirmation is through 3D computed axial tomography, its treatment is surgical between 6 to 12 months, achieving improvable results in these ages.
Case report: it was based on a 6-month-old infant diagnosed in the third medical control for presenting craniofacial asymmetry, confirmed with cranial computed axial tomography with 3-D reconstruction (CAT), right coronal synostosis; therefore, she was operated at this age by neurosurgery, whose procedure was right hemicoronal suturectomy plus frontal bone remodeling, procedure without complications. In her later medical visit, a new CAT scan was requested, whose report indicates a permeable right coronal suture and frontal bone remodeling. The patient is currently evolving psychomotor and intellectually normal, with head circumference in the percentile for her age. It is concluded that timely diagnosis with minimally invasive endoscopic intervention is the best indication to solve this pathology, because it is safe, effective and durable, associated with a lower risk of blood transfusion, complications or reoperation.


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