Craniosynostosis and Cranial Reconstruction

Understanding Craniosynostosis

Craniosynostosis is a birth condition where one or more of the fibrous joints between the bones of a baby’s skull (cranial sutures) close prematurely, before the brain is fully formed. This early fusion restricts normal brain growth and skull development, potentially resulting in an abnormally shaped head and facial asymmetry. In some cases, it may also increase pressure on the growing brain, which can lead to developmental issues.

Types of Craniosynostosis:

1. Sagittal Synostosis (most common): Premature fusion of the sagittal suture, resulting in a long, narrow skull shape (scaphocephaly).
2. Coronal Synostosis: Fusion of one or both coronal sutures, leading to a flattened forehead and brow on the affected side (anterior plagiocephaly) or a short, wide head shape if both sides are affected (brachycephaly).
3. Metopic Synostosis: Early closure of the metopic suture, causing a triangular-shaped forehead (trigonocephaly) with eyes that appear too close together.
4. Lambdoid Synostosis (rare): Fusion of the lambdoid suture, resulting in flattening of the back of the head on the affected side (posterior plagiocephaly).
5. Multiple Suture Synostosis: Involves more than one suture and can be associated with genetic syndromes.

Symptoms and Diagnosis

Common Signs:

• Abnormal head shape or asymmetry
• Hard ridge along affected sutures
• Slow or absent growth of the head as the baby grows
• Increased intracranial pressure (in severe cases)

Diagnostic Approaches at Burjeel Medical City:

• Comprehensive physical examination
• Advanced neuroimaging techniques (CT scans with 3D reconstruction)
• Genetic testing when syndromic craniosynostosis is suspected
• Multidisciplinary assessment by neurosurgeons, craniofacial surgeons, and pediatric specialists

Our Advanced Treatment Approach

At Burjeel Medical City, we offer state-of-the-art treatment options for craniosynostosis, tailored to each patient’s specific condition:

Surgical Interventions:

1. Traditional Open Cranial Vault Reconstruction:
   • Comprehensive remodeling of the skull to create normal contours
   • Typically performed between 6-12 months of age
   • Allows for significant reshaping in moderate to severe cases
2. Minimally Invasive Techniques:
   • Endoscopic suturectomy for infants younger than 3-4 months
   • Smaller incisions and reduced blood loss
   • Often followed by helmet therapy to guide skull growth
3. Distraction Osteogenesis:
   • Gradual expansion of the skull using specialized devices
   • Particularly useful in complex cases or syndromic craniosynostosis
   • Allows for controlled, progressive correction
4. Spring-Assisted Cranioplasty:
   • Use of small spring devices to gradually reshape the skull
   • Reduces operative time compared to traditional techniques
   • Offers excellent aesthetic outcomes with reduced morbidity

Multidisciplinary Care at Burjeel Medical City

Our approach to craniosynostosis involves a collaborative team of specialists:

• Pediatric Neurosurgeons: Expert surgical management of cranial vault reconstruction
• Craniofacial Surgeons: Specialized focus on aesthetic and functional outcomes
• Pediatric Anesthesiologists: Specialized in infant and pediatric anesthesia
• Genetic Counselors: For cases associated with genetic syndromes
• Developmental Specialists: Monitoring neurological and developmental progress
• Advanced Nursing Care: Specialized pediatric pre and post-operative care

Patient Journey and Recovery

Pre-Surgical Care:

• Comprehensive evaluation and imaging
• Personalized treatment planning using 3D models and virtual surgical planning
• Family education and support

Post-Surgical Care:

• Dedicated pediatric intensive care monitoring
• Pain management protocols specifically designed for infants
• Regular follow-up with neurosurgery and craniofacial teams

Long-Term Outcomes:

• Ongoing developmental assessment
• Regular monitoring of head growth and brain development
• Support services for families

Our Experts:

Why Choose Burjeel Medical City for Craniosynostosis Treatment

• Cutting-Edge Technology: Advanced 3D imaging and surgical planning systems
• Experienced Surgical Team: Specialists trained at leading international centers
• Comprehensive Care Model: From diagnosis through long-term follow-up
• Family-Centered Approach: Supporting parents and families throughout the treatment journey
• State-of-the-Art Facilities: Purpose-designed pediatric surgical suites and recovery areas

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