Craniosinostoza - Treatment

Medical therapy:Although surgery remains the main therapeutic modality, has proven therapeutic role nonchirurgical treatment. Limited to plagiocefalia nonsindromica, applied helmet serves as therapeutic option for the correction of deformities. This must be worn 23 hours a day until the age of one year. Early intervention is important because this medical therapy is not effective after 1 year of age.
Surgical therapy:Surgical therapy consisted of the 19th century and excision craniectomii linieare affected sutures. Later craniectomiilor demonstrated the effect of the unsatisfying for most craniosinostozelor linieare, especially those coronary. They were almost abandoned in favor of more complex remodeling of the skull.
Absolute indications for surgery in people with craniosinostoza include: prevention of intracranial hypertension and its associated sequelae, preventing the progression of deformity calvaria, facial deformity and preventing the progression of optimizing growth potential of the brain in early prenatal period.
Sinostozele uncorrected may be associated with increased intracranial pressure. Surgery corrects intracranial hypertension and facial skeleton asymmetry if done before age 9 months.Asymmetry of ocular and orbital dystopia lead to secondary strabismus. Maxilla and mandible asymmetry lead to malocclusion, who underwent. Surgery is indicated in the first years of life because brain development shows up in this period. Reosificare bone defects secondary surgery shows complete if surgery is performed in patients under 1 year. Calvarium of a child 3-9 months is more malleable, making it easy to shape and lead to a favorable prognosis.
PrognosisMost patients respond well to surgical treatment of craniosinostozei. Improvements in head shape is observed almost immediately after surgery. After the first few weeks, facial swelling and bruising lower orbits. In a minority of cases the deformation is a few years and require Reoperation. Most patients with simple synostosis not show postsurgical morbidity. The prognosis is dependent secondary craniosinostoza etiology of substance.Craniosinostoza syndromic patients may present a more complicated evolution due to the increased severity and related problems sinostozelor: airway obstruction and hydrocephalus.