Treatment of unilateral lambdoid synostosis with cranial distraction.
The accurate diagnosis and treatment of posterior plagiocephaly have been a source of controversy. The unilateral lambdoid synostosis that is characterized by flattening of ipsilateral occipital bone is a rare type of craniosynostosis. An 8-month-old infant with unilateral lambdoid synostosis is reported. The patient exhibited right occipital flattening, mastoid bulge, and right frontal bone prominence, with the right auricle displaced anteroinferiorly on gross examination. A Towne projection radiograph of the skull and three-dimensional computed tomography scans revealed that the right lambdoid suture was prematurely fused. Correction of the cranial shape was performed using distraction osteogenesis combined with a barrel stave osteotomy. Significant improvement in the skull was observed 1 year after surgery.
Komuro
Yuzo
Y
Department of Plastic and Reconstructive Surgery , Juntendo University School of Medicine, Tokyo, Japan. komuro@med.juntendo.ac.jp
Yanai
Akira
A
Hayashi
Ayato
A
Miyajima
Masakazu
M
Nakanishi
Hajime
H
Arai
Hajime
H
D003393:Cranial Sutures / Q000002:abnormalities / Q000000981:diagnostic imaging; D003398:Craniosynostoses / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007223:Infant; D008297:Male; D009777:Occipital Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome