Surgical treatment of craniosynostosis at an oral and maxillofacial center in an inland city of Brazil: initial experience with five cases

Craniosynostosis is a craniofacial abnormality that can affect the individual as of intrauterine life, being defined as the premature fusion of one or more sutures of the skull bones. Therefore, the skull deformity depends on the compromised suture and the number of sutures involved. The leading known deformities are scaphocephaly (sagital), brachycephaly (coronal), trigonocephaly (metopic), plagiocephaly (unilateral coronal or lambdoid), and the fusion of multiple sutures. Craniosynostosis may occur due to interference from environmental and genetical factors or as part of conditions from multiple congenital abnormalities; its incidence in the American population being 0.4–1:1000 live births. Its consequences are intracranial hypertension, impaired brain blood flow, difficulty in breathing, psychological problems, impaired visual and hearing acuity. Clinically, it is the most important group of illnesses that affects skull development. Available treatment is surgical; with the objective of satisfactory aesthetic-functional result. The patients must be accompanied by an inter- and multi-disciplinary team, composed of: maxillofacial surgeon, neurosurgeon, plastic surgeon, phonoaudiologist, amongst others; to obtain the patient’s full and complete rehabilitation. In this manner, the current study has as objective to report five clinical cases treated at a reference center for craniomaxillofacial deformities in an inland city of Brazil: the cases presented in this study are brachycephaly, plagiocephaly, scaphocephaly, turricephaly and trigonocephaly.

Conflict of interest: None declared.

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Feb 5, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Surgical treatment of craniosynostosis at an oral and maxillofacial center in an inland city of Brazil: initial experience with five cases

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