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Diagnosis and Management of Suture-Related Concerns of the Infant Skull.
Pediatr Clin North Am. 2021 08; 68(4):727-742.PC

Abstract

The cranial fontanelles and sutures have several benign variations, including most cases of "early" or "late" closure of the anterior fontanelle, bathrocephaly, overriding sutures, and benign metopic ridging. However, recognizing true craniosynostosis and referring the patient to a craniofacial specialist in a timely fashion are imperative, as minimally invasive options can be offered to most patients younger than 6 months of age. Gaining comfort with the physical examination of an infant with an abnormal head shape is best achieved through experience and pattern recognition and will frequently facilitate an accurate diagnosis without the need for ionizing radiation.

Authors+Show Affiliations

Division of Neurosurgery, Connecticut Children's, UCONN School of Medicine, 282 Washington Street, Hartford, CT 06106, USA. Electronic address: dhersh@connecticutchildrens.org.Division of Neurosurgery, Connecticut Children's, UCONN School of Medicine, 282 Washington Street, Hartford, CT 06106, USA.Division of Plastic Surgery, Connecticut Children's, UCONN School of Medicine, 282 Washington Street, Hartford, CT 06106, USA; Division of Craniofacial Surgery, Connecticut Children's, UCONN School of Medicine, 282 Washington Street, Hartford, CT 06106, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

34247705

Citation

Hersh, David S., et al. "Diagnosis and Management of Suture-Related Concerns of the Infant Skull." Pediatric Clinics of North America, vol. 68, no. 4, 2021, pp. 727-742.
Hersh DS, Bookland MJ, Hughes CD. Diagnosis and Management of Suture-Related Concerns of the Infant Skull. Pediatr Clin North Am. 2021;68(4):727-742.
Hersh, D. S., Bookland, M. J., & Hughes, C. D. (2021). Diagnosis and Management of Suture-Related Concerns of the Infant Skull. Pediatric Clinics of North America, 68(4), 727-742. https://doi.org/10.1016/j.pcl.2021.04.002
Hersh DS, Bookland MJ, Hughes CD. Diagnosis and Management of Suture-Related Concerns of the Infant Skull. Pediatr Clin North Am. 2021;68(4):727-742. PubMed PMID: 34247705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and Management of Suture-Related Concerns of the Infant Skull. AU - Hersh,David S, AU - Bookland,Markus J, AU - Hughes,Christopher D, PY - 2021/7/12/entrez PY - 2021/7/13/pubmed PY - 2021/10/7/medline KW - Anterior fontanelle KW - Bathrocephaly KW - Cranial sutures KW - Craniosynostosis KW - Plagiocephaly SP - 727 EP - 742 JF - Pediatric clinics of North America JO - Pediatr Clin North Am VL - 68 IS - 4 N2 - The cranial fontanelles and sutures have several benign variations, including most cases of "early" or "late" closure of the anterior fontanelle, bathrocephaly, overriding sutures, and benign metopic ridging. However, recognizing true craniosynostosis and referring the patient to a craniofacial specialist in a timely fashion are imperative, as minimally invasive options can be offered to most patients younger than 6 months of age. Gaining comfort with the physical examination of an infant with an abnormal head shape is best achieved through experience and pattern recognition and will frequently facilitate an accurate diagnosis without the need for ionizing radiation. SN - 1557-8240 UR - https://www.unboundmedicine.com/medline/citation/34247705/Diagnosis_and_Management_of_Suture_Related_Concerns_of_the_Infant_Skull_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0031-3955(21)00048-1 DB - PRIME DP - Unbound Medicine ER -