CRANIAL RECONSTRUCTION ON CRANIOSYNOSTOSIS: 10 YEARS EXPERIENCE AT HIJG

Abstract

Pediatric health providers evaluate and assist children with several cranial forms variations, which may represent craniosynostosis, deformational alterations or normal accepted variations. The correct identification and differentiation to diagnosis is important to aesthetics in some cases, to prevent or control intra cranial hypertension (ICH) in others, and as a final goal, to permit normal cerebral growing and cranial morphology. When cranial sutures mineralize in precocious and abnormal closure, osseous growth is impeded on the affected suture and redirected to others patent ones. This lead to cranial morphologic alterations, in part predictable, recognizable and at some extent permitting differentiations between the many possibilities on differential diagnosis. Frequently, parents, care givers and Pediatricians are the front line on suspecting about any abnormal issue on cranial format alterations. The Craniofacial teams are on duty to stablish correct differential diagnosis and indicate the most appropriate treatment, as well as provide follow up attention. Here we discuss criteria to our conduct on differentiation, classification and treatment on craniosynostosis and cranial reconstruction, in comparison with recent literature, and present data on 10 years current practice at HIJG to present data.