Document Detail

Surgical treatment for scaphocephaly and a calcified cephalohematoma.
MedLine Citation:
PMID:  19242365     Owner:  NLM     Status:  MEDLINE    
Craniosynostosis is the premature fusion of 1 or more of the cranial sutures, with sagittal synostosis being the most common nonsyndromic single suture synostosis. The pathogenesis of craniosynostosis has been extensively studied and is likely multi-factorial. A complex interaction between the dura and overlying suture via multiple growth factors seems to play the most important role. There have been 3 published studies with patients presenting with scaphocephaly and a cephalohematoma, which raises the question of how the 2 conditions may be related. Cephalohematomas can be seen after trauma and a number of other causative factors but usually resorb over time without sequela. In a small percentage of cases, the hematoma persists and calcifies, leading to significant asymmetry and deformity of the skull. Once it reaches this point, surgical intervention may be required to correct the resulting skull deformity. We present a child with scaphocephaly and a cephalohematoma who underwent surgical correction with resection of the cephalohematoma and sagittal suturectomy with spring-assisted surgery.
Bill G Kortesis; Jeremy W Pyle; Claire Sanger; Martyn Knowles; Steven S Glazier; Lisa R David
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  20     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-23     Completed Date:  2009-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  410-3     Citation Subset:  D    
North Carolina Center for Cleft and Craniofacial Deformities and the Department of Plastic and Reconstructive Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina 27157-1071, USA.
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MeSH Terms
Birth Injuries / complications
Calcinosis / surgery*
Cranial Sutures / abnormalities*,  surgery
Craniosynostoses / surgery*
Craniotomy / methods
Follow-Up Studies
Hematoma / surgery*
Obstetrical Forceps / adverse effects
Osteogenesis, Distraction / instrumentation,  methods
Parietal Bone / abnormalities*,  surgery
Skull / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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