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Unilateral craniosynostosis of the frontosphenoidal suture: a case report and a review of literature.
J Craniomaxillofac Surg. 2009 Apr; 37(3):162-6.JC

Abstract

INTRODUCTION

Frontal plagiocephaly, a rare congenital deformation of the skull, is one of the most complicated forms of craniosynostosis to treat. The difference between deformational and synostotic frontal plagiocephaly is small. Moreover, the visible deformations are sometimes misleading and may lead to a treatment delay. A multislice CT scan with 3D reconstruction is the preferred diagnostic tool to differentiate between craniosynostosis and deformational causes of plagiocephaly. Still, meticulous examination of all sutures is necessary to exclude any form of craniosynostosis and to prevent misdiagnosis.

AIM

A case is presented of a 1-month-old boy with a progressive deformation of the left forehead, which was caused by a stenosis of the left frontosphenoidal suture.

METHODS

Surgical treatment consisted of a left fronto-orbital advancement. Furthermore, 3D stereophotogrammetry was used for long term follow up, which showed normalisation of the growth pattern of the skull.

CONCLUSION

Isolated frontosphenoidal suture synostosis is a rare cause of frontal plagiocephaly with its own distinct clinical features. Accordingly, careful assessment of a 3D CT scan may reduce treatment delay. Furthermore, 3D stereophotogrammetry proved to be a radiation-free non-invasive patient-friendly method for long term follow up of a child with a skull deformation.

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Authors+Show Affiliations

Plooij JM
Department of Oral and Maxillofacial Surgery, 3D Facial Imaging Research Group Nijmegen - Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Verhamme Y
No affiliation info available
Bergé SJ
No affiliation info available
van Lindert EJ
No affiliation info available
Borstlap-Engels VM
No affiliation info available
Borstlap WA
No affiliation info available

MeSH

Cranial SuturesCraniosynostosesFacial AsymmetryFrontal BoneHumansImaging, Three-DimensionalInfantInfant, NewbornMaleSphenoid BoneTreatment Outcome

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

19041252

Citation

Plooij, Joanneke M., et al. "Unilateral Craniosynostosis of the Frontosphenoidal Suture: a Case Report and a Review of Literature." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 37, no. 3, 2009, pp. 162-6.
Plooij JM, Verhamme Y, Bergé SJ, et al. Unilateral craniosynostosis of the frontosphenoidal suture: a case report and a review of literature. J Craniomaxillofac Surg. 2009;37(3):162-6.
Plooij, J. M., Verhamme, Y., Bergé, S. J., van Lindert, E. J., Borstlap-Engels, V. M., & Borstlap, W. A. (2009). Unilateral craniosynostosis of the frontosphenoidal suture: a case report and a review of literature. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 37(3), 162-6. https://doi.org/10.1016/j.jcms.2008.10.005
Plooij JM, et al. Unilateral Craniosynostosis of the Frontosphenoidal Suture: a Case Report and a Review of Literature. J Craniomaxillofac Surg. 2009;37(3):162-6. PubMed PMID: 19041252.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unilateral craniosynostosis of the frontosphenoidal suture: a case report and a review of literature. AU - Plooij,Joanneke M, AU - Verhamme,Yvette, AU - Bergé,Stefaan J, AU - van Lindert,Erik J, AU - Borstlap-Engels,Veronique M F, AU - Borstlap,Wilfred A, Y1 - 2008/11/28/ PY - 2008/02/11/received PY - 2008/08/27/revised PY - 2008/10/06/accepted PY - 2008/12/2/pubmed PY - 2009/8/1/medline PY - 2008/12/2/entrez SP - 162 EP - 6 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 37 IS - 3 N2 - INTRODUCTION: Frontal plagiocephaly, a rare congenital deformation of the skull, is one of the most complicated forms of craniosynostosis to treat. The difference between deformational and synostotic frontal plagiocephaly is small. Moreover, the visible deformations are sometimes misleading and may lead to a treatment delay. A multislice CT scan with 3D reconstruction is the preferred diagnostic tool to differentiate between craniosynostosis and deformational causes of plagiocephaly. Still, meticulous examination of all sutures is necessary to exclude any form of craniosynostosis and to prevent misdiagnosis. AIM: A case is presented of a 1-month-old boy with a progressive deformation of the left forehead, which was caused by a stenosis of the left frontosphenoidal suture. METHODS: Surgical treatment consisted of a left fronto-orbital advancement. Furthermore, 3D stereophotogrammetry was used for long term follow up, which showed normalisation of the growth pattern of the skull. CONCLUSION: Isolated frontosphenoidal suture synostosis is a rare cause of frontal plagiocephaly with its own distinct clinical features. Accordingly, careful assessment of a 3D CT scan may reduce treatment delay. Furthermore, 3D stereophotogrammetry proved to be a radiation-free non-invasive patient-friendly method for long term follow up of a child with a skull deformation. SN - 1878-4119 UR - https://www.unboundmedicine.com/medline/citation/19041252/Unilateral_craniosynostosis_of_the_frontosphenoidal_suture:_a_case_report_and_a_review_of_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(08)00175-3 DB - PRIME DP - Unbound Medicine ER -