At Banner Children’s, we understand as a parent, it can be overwhelming to hear a diagnosis for craniosynostosis. Our team of compassionate pediatric experts is here to build a custom treatment plan for your child and support you and your family.
Craniosynostosis是一种影响头骨形状的出生缺陷。当缝合线分离在大脑完成发展和生长之前，将缝合线分离出颅骨骨骼时发生这种情况。虽然它相信环境因素或遗传学可能在颅骨的发展中发挥作用，但确切的原因是未知的。在一个位置铺设宝宝可能会出现异常的头部形状过长，因此与您的儿科医生交谈是非常重要的，以获得准确的诊断。在大多数情况下，这些条件可以通过天然脑生长和频繁的新生儿重新定位来解决自己。
There are several different types of craniosynostosis, which are defined by the location and sutures affected. At Banner Children’s, our pediatric neurosurgeons take the time and effort to understand your child’s unique cranial condition to develop the best treatment approach.
Sagittal synostosis is the most common type of craniosynostosis. In this condition, the sagittal suture, which is the opening that runs across the top of the skull from front to back, closes prematurely. This type of synostosis results in a long and narrow head shape with fullness in the forehead.
Coronal synostosis occurs when one or both coronal sutures, which are openings that run across the top of the skull emanating from each ear, fuse together prematurely. This causes the shape of the head to be wide. There are two types of coronal synostosis: unicoronal and bicoronal. Unicoronal synostosis occurs when one of the coronal sutures closes prematurely. Bicoronal synostosis occurs when both coronal sutures close prematurely.
This rare type of synostosis accounts for only 1-3% of craniosynostosis cases. Lambdoid synostosis is caused by the premature closing of the lambdoid suture, which is an opening that runs across the back of the skull from ear to ear. Lambdoid synostosis can make the shape of your baby’s head flat on one side. Lambdoid synostosis can be easily confused with positional plagiocephaly, which is caused by your baby sleeping preferentially to one side. Positional plagiocephaly does not require surgery.
Metopic synostosis (also referred to as trigonocephaly or metopic suture craniosynostosis) is a more common synostosis condition accounting for 20-25% of cranial cases. The metopic suture runs from the soft spot to the root of the nose, and if fused together prematurely can cause the forehead to form a triangular shape possibly impacting brain development.
如果你开始看到孩子头部的畸形部分，那么与你的儿科医生交谈很重要。这并不总是意味着颅骨，因为婴儿的头看起来不是罕见的念珠。有时这可以简单意味着你的宝宝需要更频繁的位置变化和额外的肚子时间。
在宝宝出生之后，以及在早期访问期间，您的儿科医生将进行体检，以寻找任何颅骨的迹象。在此考试期间，他们会寻找：
如果发现任何异常异常，您的儿科医生可以要求成像测试，如CT扫描，以更好地了解宝宝头骨的形状。
Surgery may or may not be required depending on the severity of craniosynostosis to help relieve pressure in the skull and allow for optimal brain growth. Another option to treat craniosynostosis includes helmet therapy (cranial orthosis), which can help gently correct the shape of the skull.
There are two surgical options for craniosynostosis: open surgery and endoscopic surgery. These surgeries are performed by a pediatric neurosurgeon who works closely with your pediatric plastics and craniofacial specialist.
内窥镜手术是一种微创手术，可以在婴儿6个月和年轻人上进行，以打开封闭。在这种手术期间，儿科神经外科医生将产生一个小切口并取下受影响的缝合线。内窥镜手术允许更快的恢复和较小的切口。
婴儿6个月或以上更有可能需要开放的手术来重塑他们的头骨。在此手术中，小儿神经外科医生将切断受影响的缝合线并使用板和螺钉来校正形状。这种类型的手术涉及医院的2至4天。
通常在内镜手术后使用的头盔治疗，用于帮助重塑头骨随着时间的推移。你的宝宝的头部配有一个特殊的头盔，每天穿23小时，平均为3个月。当头盔适合您的孩子时，这种疗法对宝宝并不舒服或痛苦。
Count on the experts at Banner Children’s to answer any questions and provide support to you and your child, always.
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