Delgado HC, Mendizábal GR, Muñoz BJA, Soto BJC, Ayala AA, Acosta GR, Reyes SG, Jiménez JM

Language: Spanish
References: 24
Page: 213-217
PDF size: 239.07 Kb.

ABSTRACT

Craniosynostosis is a disorder of the skull shape caused by a premature fusion of the sutures. Together with other anomalies, it constitutes a syndrome. Craniosynostosis is a pathology of heterogenic etiology. There are more than 90 syndromes of craniosynostosis known, excluding the occasional and secondary craniosynostosis. The diagnosis is made clinically and radiologically and the prevalence of all types is 343 per million of newborns. The most frequent synostosis is the fusion of the sagital suture followed by the fusion of the coronal. The premature fusion of the metopic and lambdoid sutures is less frequent. Cases of isolated craniosynostosis are sporadic. Craniosynostosis in the offspring is related to father’s old age. In this paper, we will make a revision of the literature in the diferent alternatives in the surgical management, and we will describe our surgical technique, with detail in the surgical procedure, of the most common type of craniosynostosis, escaphocephaly/dolicocephaly. This revision is because of the importance of a precise diagnosis, since patient handling and treatment depend on it. It is also important in order to provide proper genetic counseling about the possible complications such as mental retardation, cardiac malformations and others (depending on the syndrome) and to inform the risk of recurrence in the family.

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