Doctors Travis's head is elongated in the AP diameter, and that there is frontal prominence.Neurological Examination sagittal synostosis with macrocephaly. http://quads9.homestead.com/Doctors.html
Extractions: November 20, 1990 Travis Came home from the Hospital today.... weight 4 1/2 lbs. His stay in the hospital was 2 mos. and 4 days. Travis had an eye examination done by Dr. Greenberg that revealed retinopathy of prematurity, stage 1, zone 2. He will be followed by Dr. Greenberg as an outpatient. Travis was discharge from the hospital with a apnea home monitor, and a bilateral inguinal hernia, that will be repaired after a few months old as an outpatient, Travis continued gaining weight. On caffeine, he did not have any more apnea and bradycardias. November 23, 1990 Dr. Morgan Pediatric Surgery 1200 S. Kuhl ave. Orlando Florida 32806 Travis had his hernia repeared. Doctor Morgan wanted him to but on more weight but we had to move the surgery up. After the surgery Doctor Morgan said the scrotal edema and echymosis will be resolved within the next two weeks, and unless there are problems he will not specifically schedule him back for a follow-up vist.
Extractions: The cleft of the lip can be unilateral or bilateral. The repair of the child's lip generally takes place at age 10 to 12 weeks, although optimum timing of repairs may differ from child to child. The repair of the cleft lip is done in the operating room under general anesthesia. There are several methods of repairing the cleft lip, and the surgeon will choose the type of repair that is appropriate depending on the type of cleft lip your baby has. In the cleft lip operation, incision are made and the pieces of lip are brought together to form a full lip. post operative instructions The repair of the cleft palate is usually done at six to eighteen months of age. Although the child may look normal from the outside, the cleft palate should be closed for several reasons, namely to improve speech and to separate the mouth and the nasal cavity. More than one operation may be necessary to close the cleft palate. The cleft palate operation is done under general anesthesia in the operating room. The operation involves making several incisions in the pieces of the palate and putting the pieces of the palate together in several layers; the layer which is the floor of the nose, the muscles in the middle of the palate, and the skin that is the roof of the mouth.
Joan T. Richtsmeier Richtsmeier, JT, T Cole, CJValeri, G Krovitz S Lele 1998 Preoperative morphologyand development in sagittal synostosis. J. Craniof. Genet. Devel. http://www.anthro.psu.edu/ppl/richts.html
Publications 1998, Richtsmeier, JT, T Cole, CJValeri, G Krovitz S Lele 1998 Preoperative morphologyand development in sagittal synostosis. J. Craniof. Genet. Devel. http://oshima.anthro.psu.edu/pubs.html
Extractions: As of October 21, 2002, 215 patients have undergone the endoscopic strip craniectomy at University of Missouri Health Care. CRANIO QUESTIONS CRANIOSYNOSTOSIS NEUROMEDICINE For sagittal suture synostosis, two small incisions are made, one over the anterior fontanel (soft spot) and the other farther back on the head. Measurements are taken before and after the surgery to document changes in the head shape (cephalic index). The cephalic index is obtained by dividing the width of the baby's head by the length and multiplying the number by 100. A low cephalic index indicates a long, narrow head. After the surgery, periodic measurements are taken. As the skull begins to increase in width the cephalic index increases. See the results of endoscopic strip craniectomy for sagittal suture synostosis.
Conditions Treated, Cincinnati Childrens Hospital Medical Center Rhinoplasty. Cranial Vault Surgery for the Following Scaphocephaly/Sagittalsynostosis. Plagiocephaly/Coronal synostosis, one side. http://www.cincinnatichildrens.org/Services/Departments-Divisions/Plastic_Surger
Extractions: The Plastic Surgery physicians at Cincinnati Children's Hospital Medical Center treat various pediatric diseases and conditions. Cleft Lip and Palate ( Craniofacial Center Cranial Vault Surgery for the Following: Cranial Banding (Helmets) for the Following: Lefort Advancements/Mandibular Movement for: Congenital Hand Surgery Extra Fingers (toes): Polydactyly Webbed Fingers: Syndactyly Club Hand Absent Thumbs.
MCG Craniofacial Center - Craniofacial Anomalies Scaphocephaly usually results from premature closure of the sagittal suture (sagittalsynostosis.) It may require surgical correction depending upon its http://www.mcg.edu/centers/cranio/anomal.htm
Extractions: Craniofacial Anomalies Before a child is born, the bones of the skull are not fused; this allows the bony plates of the skull to be more flexible, so the head can be molded during birth. Otherwise, it would be very difficult for a child's head to pass through the birth canal. Craniosynostosis is a condition that occurs when the bone junctions, or sutures, fuse prematurely. When some of the skull bones fuse in the womb, it can affect the baby's head shape. Sometimes the growth of the brain can also be influenced, and will benefit from surgical release of the constricted bones. Some examples follow. Click here to read about one family's experience. Plagiocephaly (plagio=oblique + cephaly=head) This condition presents with a lop-sided or twisted appearance to the head, with one side of the forehead or posterior head pushing out farther than the other. It can be associated with premature closure of one or both of the coronal or lambdoid sutures, or may come as a result of pressure of the mother's pelvic bones on the skull ( positional plagiocephaly Scaphocephaly (scapho=boat, skiff + cephaly=head)
Preop Data Set Transformed Into Periop Data Set And Vice Versa We wanted to transform a 3D CT data set of a 3 month old infant head with sagittalsynostosis (preop) into a 3D CT data set of a 5 month old infant head after http://css.engineering.uiowa.edu/~gec/fcmckee/Infant_B/infant_b/preb2perib.html
Extractions: Validation Visual Inspection ... Visualization We wanted to transform a 3D CT data set of a 3 month old infant head with sagittal synostosis (preop) into a 3D CT data set of a 5 month old infant head after the surgery to correct the sagittal synostosis (periop). Before we could do this, we had to rigidly register the data sets through rotation and translation. The preop and periop data sets were rigidly registered along the Frankfort Horizontal and Midsagittal planes with the sella turcica being the origin of the coordinate system. Click on image for animated gif image. The results below show the transformation of a 3 to 5 month old infant head with sagittal synostosis with respect to the sella turcica (origin). The 3D CT data set taken before surgery at 3 months of age (preop) was transformed into the shape of the 3D CT data set taken after surgery at 5 months of age (periop). These results were generated using a consistent linear-elastic transformation. The Preop image was used as the template and the Periop image was used as the target . The images below show the skin and skull surface renderings of the template, target, deformed template, and deformed target.
Mayo Clinic Roch: Pediatrics, Craniofacial Disorders head shape. The most common of the synostoses are the following SagittalSynostosis (scaphocephaly) skull is long and narrow. http://www.mayo.edu/pediatrics-rst/brain-cranio.html
Extractions: Pediatric Home Problems Treated Brain, Muscle and Nerves Brain Tumors ... Maps Craniofacial Disorders The treatment of children with craniofacial disorders requires a comprehensive team approach. The combined expertise of the multidisciplinary Mayo Clinic craniofacial disorders team optimizes the holistic care of the child. The team includes specialists from Pediatric Neurosurgery, Plastic and Reconstructive Surgery, Child and Adolescent Neurology and Pediatric Medical Genetics. This team has the most current diagnostic and treatment options available. Symptoms Premature closure of growth plates in the skull cause abnormal growth patterns of the face and skull. The altered growth results in an abnormal head shape. The actual shape of an affected infant's head depends on which growth plates closed prematurely. An infant's skull is made up of a collection of separate bones. The spaces between these bones are called sutures. The brain grows rapidly in an infant. In order to make room for the growing brain, the skull also grows rapidly. Growth of the skull takes place at the sutures. Premature fusion or closure of these sutures is called craniosynostosis. In a child with craniosynostosis, the brain continues to grow. However, the skull will not grow where the suture is closed. Compensatory growth occurs at adjacent sutures, resulting in an abnormal head shape. The most common of the synostoses are the following: Sagittal Synostosis (scaphocephaly) - skull is long and narrow.
The TARA Approach The TARA Approach. For the Resolution of Shock Trauma. A Dom Project (501c3) Program. http://www.tara-approach.org/resources.asp
Extractions: Paul D. Chumas, F.R.C.S.(SN), Giuseppe Cinalli, M.D., Eric Arnaud, M.D., Daniel Marchac, M.D., and Dominique Renier, M.D. Cases of craniosynostosis usually fall into well-demarcated categories: those related to a syndrome or identified by a combination of suture involvement and morphological appearance. Between 1976 and 1995, 53 (3.6%) of 1474 cases in the craniofacial databank were assessed and designated as nonsyndromic but unclassifiable. The records and radiological studies obtained in these patients were retrospectively analyzed and comparisons were made with patients classified in the databank as having simple craniosynostoses. "Two-suture synostosis" is a relatively straightforward condition and is treatable with standard craniosynostosis techniques. However, possibly as a result of surgical compromise when two sutures are involved, the rate of reoperation is far higher than in simple suture cases. In contrast, patients in the "complex" group presenting with severe multisuture involvement require a more tailor-made approach to their management that often entails a second procedure. Key Words * craniosynostosis * complex disease * cranial suture The classification of craniosynostoses depends on a combination of criteria: 1) whether the sutural disease is part of a syndrome; 2) the morphological appearance of the patient; 3) the actual sutures involved; and 4) progression of the disease over time.[1] Using these criteria, it is possible to classify the vast majority of craniosynostoses. In a minority of cases the initial classification proves to be incorrect and other features indicating a more complex nature become apparent. It is thus necessary to have a sufficient follow-up period to be confident that the initial diagnosis still holds.
