Surgical timing of craniosynostosis: what to do and when.
Craniosynostosis, both isolated and syndromic, are challenging malformations for the craniofacial team. They present the team with an articulated cascade of choices, which need to be addressed early in life and in the growing age to intercept, remove, or correct the direct and indirect consequences of the malformation. Timing of treatment is thus critical and it stands on the experience of a multi-specialty trained craniofacial team. In this paper the authors discuss the timing of treatment of the major craniosynostosis, isolated and syndromic, reviewing the options for treatment and their experience in this complex field.
Department of Maxillo-Facial Surgery, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 9, 00185 Rome, Italy.
Mario
M
Pagnoni
Department of Maxillo-Facial Surgery, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 9, 00185 Rome, Italy.
Maria Teresa
MT
Fadda
Department of Pediatrics, Child Neurology Division, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 9, 00185 Rome, Italy.
Alberto
A
Spalice
Department of Maxillo-Facial Surgery, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 9, 00185 Rome, Italy. Electronic address: gamodeo@live.it.
Giulia
G
Amodeo
Department of Pediatrics, Child Neurology Division, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 9, 00185 Rome, Italy.
Fabiana
F
Ursitti
Department of Maxillo-Facial Surgery, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 9, 00185 Rome, Italy.
Valeria
V
Mitro
Department of Maxillo-Facial Surgery, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 9, 00185 Rome, Italy.
Giorgio
G
Iannetti
D000168:Acrocephalosyndactylia / Q000150:complications; D000367:Age Factors; D002675:Child, Preschool; D002985:Clinical Protocols; D003394:Craniofacial Dysostosis / Q000150:complications; D003398:Craniosynostoses / Q000145:classification / Q000601:surgery*; D006801:Humans; D006972:Hypertelorism / Q000601:surgery; D007223:Infant; D063168:Mandibular Osteotomy / Q000379:methods; D063166:Maxillary Osteotomy / Q000379:methods; D019857:Osteogenesis, Distraction / Q000379:methods; D010347:Patient Care Planning; D010348:Patient Care Team; D019651:Plastic Surgery Procedures / Q000379:methods; D013997:Time Factors
Isolated craniosynostosis; Surgical timing; Syndromic craniosynostosis