What are the treatment options for craniosynostosis?

Treating craniosynostosis usually involves surgery to unlock and bones and reshape the skull. Historically, craniosynostosis has been treated using surgical methods that involve an incision from ear to ear and the removal, reshaping, and reattachment of affected bones. Sometimes this is still the best option.

Can craniosynostosis be treated without 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.

How successful is 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.

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.

How Safe Is surgery for craniosynostosis?

The surgery is very safe and produces excellent results. There are several surgical options for treating craniosynostosis, depending on which type it is. It's usually best to perform surgery at just a few weeks to a few months of age, since the skull bones are the softest and most malleable then.

Craniosynostosis: Treatment Options for Sagittal Synostosis | Part 5 of 6

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.

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.

How long does it take to heal from 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.

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.

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.

Who treats craniosynostosis?

Craniosynostosis requires evaluation by specialists, such as a pediatric neurosurgeon or a specialist in plastic and reconstructive surgery. Diagnosis of craniosynostosis may include: Physical exam.

What happens if craniosynostosis is not treated?

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.

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.

Can craniosynostosis cause 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.

Can craniosynostosis cause learning disabilities?

In 2015, Dr. 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.

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.

At what age is craniosynostosis 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.

Is craniosynostosis painful for baby?

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.

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.

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 cause mental illness?

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.

Can craniosynostosis cause speech delay?

They found that over half of the children with non-syndromic craniosynostosis had abnormalities speech and language development and that around one third needed to see a speech and language therapist. The cause of these speech and language delays isn't known.

What gene causes craniosynostosis?

Genes most commonly mutated in craniosynostosis are FGFR2, FGFR3, TWIST1 and EFNB1. As well as being associated with syndromes, some clinically non-syndromic synostosis (usually affecting the coronal suture) can be caused by single gene mutations, particularly the Pro250Arg mutation in FGFR3.

Is craniosynostosis genetic?

In extremely rare cases, primary isolated craniosynostosis is genetic and in such cases is usually inherited as an autosomal dominant trait. Most cases of primary craniosynostosis that occur as part of a syndrome are also inherited as autosomal dominant traits.