| Title | Treatment of unilateral lambdoid synostosis with cranial distraction. | | Author(s) | Komuro Y, Yanai A, Hayashi A, Miyajima M, Nakanishi H, Arai H | | Institution | Department of Plastic and Reconstructive Surgery , Juntendo University School of Medicine, Tokyo, Japan. komuro@med.juntendo.ac.jp | | Source | J Craniofac Surg 2004 Jul; 15(4):609-13. | | MeSH | Cranial Sutures
Craniosynostoses
Humans
Imaging, Three-Dimensional
Infant
Male
Occipital Bone
Osteogenesis, Distraction
Osteotomy
Tomography, X-Ray Computed
Treatment Outcome
| | Abstract | The accurate diagnosis and treatment of posterior plagiocephaly have been a source of controversy. The unilateral lambdoid synostosis that is characterized by flattening of ipsilateral occipital bone is a rare type of craniosynostosis. An 8-month-old infant with unilateral lambdoid synostosis is reported. The patient exhibited right occipital flattening, mastoid bulge, and right frontal bone prominence, with the right auricle displaced anteroinferiorly on gross examination. A Towne projection radiograph of the skull and three-dimensional computed tomography scans revealed that the right lambdoid suture was prematurely fused. Correction of the cranial shape was performed using distraction osteogenesis combined with a barrel stave osteotomy. Significant improvement in the skull was observed 1 year after surgery. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 15213539 |
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