ABSTRACT

Patients received surgical treatment for their craniosynostosis according to their age at referral and the protocols of the unit. This chapter outlines different treatment approaches for the full range of craniosynostoses and discusses each of them in turn. The facial malformations highlighted were those of patients with plagiocephaly where asymmetry of the affected orbit and deviation of the nose often require surgical intervention and trigonocephaly where narrowing of the face may be obvious and managed by moving the orbital walls, and occasionally the zygomatic areas, laterally. The techniques discussed are not necessarily contemporaneous with current clinical practice. Advances in genetics also mean that many of the non-syndromic craniosynostoses cases included in this review would likely be reclassified as syndromic craniosynostoses. While many of the principles outlined still hold true, a number of changes have occurred in philosophy and treatment modalities since it was published, mostly due to newer operative techniques and equipment.