Does craniosynostosis always need surgery?

Babies with very mild craniosynostosis might not need surgery. As the baby gets older and grows hair, the shape of the skull can become less noticeable. Sometimes, special medical helmets can be used to help mold the baby's skull into a more regular shape.

What happens if you don't fix craniosynostosis?

Craniosynostosis occurs when a baby's skull bones fuse too early. As a result babies may have a misshapen skull, which may impair brain growth. Without treatment, children may have developmental delays. Helmet therapy or craniosynostosis surgery can release or reshape a baby's fused bones.

When is surgery needed for craniosynostosis?

Most procedures for the treatment of craniosynostosis are performed before the age of one year, and some are performed before 3-4 months of age. Almost any child with a fused suture is a candidate for surgery.

Can craniosynostosis be left untreated?

Left untreated, craniosynostosis can result in further cranial deformity and potentially an overall restriction in head growth, with secondary increased intracranial pressure. It can also lead to psychosocial issues as the child interacts with peers during development.

Does craniosynostosis get worse with age?

The deformity usually gets even more noticeable over time. The head shape depends on the location of the fused skull suture. For example, in the most common type, sagittal synostosis, the skull becomes long and narrow with a broad forehead and a pointy shape in the back.

Surgery to Correct Craniosynostosis: Tuck's Story

Can a baby with craniosynostosis live a normal life?

Key points about craniosynostosis

Craniosynostosis usually occurs by chance. The first and only symptoms are usually changes in the shape of the baby's head and face. Surgery is usually the recommended treatment. Most children who have surgery early live healthy lives.

Can kids with craniosynostosis play sports?

OBJECTIVE Craniosynostosis (CS) affects about 1 in 2500 infants and is predominantly treated by surgical intervention in infancy. Later in childhood, many of these children wish to participate in sports. However, the safety of participation is largely anecdotal and based on surgeon experience.

Can craniosynostosis correct itself?

Babies with very mild craniosynostosis might not need surgery. As the baby gets older and grows hair, the shape of the skull can become less noticeable. Sometimes, special medical helmets can be used to help mold the baby's skull into a more regular shape.

At what age is craniosynostosis usually diagnosed?

Slight imperfections in your baby's head are normal, especially in the first month after birth. But as your baby grows, a misshapen head could be a sign of something else. The earlier you can get a diagnosis—ideally, before the age of 6 months—the more effective treatment can be.

What are the long term effects of craniosynostosis?

If left untreated, craniosynostosis can lead to serious complications, including: Head deformity, possibly severe and permanent. Increased pressure on the brain. Seizures.

How serious is craniosynostosis in babies?

Craniosynostosis can affect a child's brain and development. The degree of the problems depends on the severity of the craniosynostosis, the number of sutures that are fused, and the presence of brain or other organ system problems that could affect the child.

What is the success rate of craniosynostosis surgery?

The data support this: in 2020 alone, more than 50 craniosynostosis procedures have been performed, with a success rate of 99%, relatively fast recovery times, and hardly any complications.

Is craniosynostosis a major surgery?

All centers still offer traditional surgery, particularly for babies who are diagnosed at later ages or babies who have particular types of craniosynostosis with more extensive deformities. The surgery is immensely safer than it was in previous decades, but it is a longer overall procedure — it can take six hours.

What is the life expectancy of someone with craniosynostosis?

People with Crouzon syndrome have a normal life expectancy. Most children with this condition are unaffected intellectually. However, it can alter the shape of the face and cause vision and hearing problems.

Does craniosynostosis cause developmental delay?

Matthew Speltz's team published results indicating that school-age children with the most common form of craniosynostosis are more likely to suffer developmental delays and learning problems than children who don't have the disorder.

Does craniosynostosis cause mental retardation?

Chi-square analysis showed no significant differences between rates of retardation or learning disorders based on surgical status. Conclusions: Most children with nonsyndromic craniosynostosis obtain developmental quotients within the normal range in infancy.

Do babies with craniosynostosis have trouble sleeping?

Results: Current sleep problems were reported in 19% of patients with single-suture craniosynostosis and 14% of controls (adjusted odds ratio = 1.6; 95% CI, 0.9 to 2.8). Ever having sleep problems was reported in 25% and 23% of cases and controls, respectively (adjusted odds ratio = 1.2; 95% CI, 0.7 to 1.9).

How do you rule out craniosynostosis?

Imaging studies.

A computerized tomography (CT) scan or magnetic resonance imaging (MRI) of your baby's skull can show whether any sutures have fused. Cranial ultrasound imaging may be used. Fused sutures can be identified by their absence — because they're invisible once fused — or by a ridging of the suture line.

Why do babies get craniosynostosis?

Syndromic craniosynostosis is caused by certain genetic syndromes, such as Apert syndrome, Pfeiffer syndrome or Crouzon syndrome, which can affect a baby's skull development. These syndromes usually also include other physical features and health problems.

When does baby head shape become permanent?

It can take 9-18 months before a baby's skull is fully formed. During this time some babies develop positional plagiocephaly. This means that there is a flat area on the back or side of the head. Positional plagiocephaly does not affect brain growth or development; it is purely a shape issue.

Does craniosynostosis hurt?

In general, craniosynostosis is not a painful condition. However, if there is increased pressure on the brain, it can cause: Abnormalities affecting the face and hands. Headaches.

How long is recovery after craniosynostosis surgery?

The bones will be healed 6 weeks after surgery but trauma to the head should be avoided. Parents sometimes notice small areas of swelling 8-12 months after surgery as the plates begin to dissolve. Patients undergoing surgery for craniosynostosis are typically seen annually by their surgeons until they are done growing.

Does mild craniosynostosis need surgery?

A small number of babies with mild craniosynostosis won't need surgical treatment. Rather, they can wear a special helmet to fix the shape of their skull as their brain grows. Most babies with this condition will need surgery to correct the shape of their head and relieve pressure on their brain.

Can craniosynostosis cause behavior problems?

In unilateral coronal craniosynostosis, problems with intelligence, speech, learning, or behavior have been reported in 52% and 61% of children affected on the left and right sides, respectively⁶⁾.

Can craniosynostosis come back after surgery?

Re-synostosis after standard surgical procedures for nonsyndromic craniosynostosis is a rare event, which can occur at the same suture or rarely in adjacent sutures.