Türk Nöroşirürji Dergisi
2017 , Vol 27 , Num 3
Unilateral Coronal Synostosis; Anterior Plagiocephaly
1Ege Üniversitesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İzmir, Türkiye
Frontal plagiocephaly can be synostotic or deformational. The deformational type is more common than the synostotic type and
may be associated with oligohydramnios, uterine pathology, being twins, cephalopelvic disproportion, birth trauma and postnatal
bedding position. Anterior synostotic plagiocephaly is the third most common type of simple craniosynostosis after scaphocephaly
and trigonocephaly. Suturectomy used to be the treatment modality of choice but currently different correction methods are used.
The most frequent surgical modality nowadays is bilateral frontoorbital advancement. The aim of bilateral frontoorbital advancement
is achieving long-term frontal and orbital symmetry bilaterally. The ideal operation timing is between 6 and 12 months. Surgical
complications are hypovolemia because of blood loss peroperatively, pulmonary embolism, cerebrospinal fluid fistula, neural injury,
orbital injury, central nervous system infection and inadequate correction.
Anahtar Kelimeler :
Anterior plagiocephaly, Frontoorbital advancement, Coronal synostosis