Diagnosis and treatment of craniosynostosis

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  • 頭蓋骨縫合早期癒合症の診断と治療

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Craniosynostosis patients treated at this institute were retrospectively analyzed to identify problems about diagnosis and treatment. We treated 29 patients, including 23 patients with non-syndromic craniosynostosis and 6 patients with syndromic craniosynostosis. Skull shapes were as follows: 7 brachycephaly, 9 plagiocephaly, 8 trigonocephaly, 4 scaphocephaly and 1 oxycephaly. All syndromic craniosynostosis patients showed brachycephaly. The patients were diagnosed with craniosynostosis at age of 1 year and 7 months in non-syndromic patients, and 5.2 months in syndromic cases. Associated general anomalies were found in 60.9% of non-syndromic patients, and all syndromic patients. Developmental retardation was found in 39.1% of non-syndromic patients, and 83.3% of syndromic patients. FGFR mutations were found in 4 of 5 syndromic patients, and none of non-syndromic patients. We treated patients with conventional cranioplasty before, and with distraction osteogenesis from 1999. With distraction, we could operate with shorter operation time and less bleeding. In the future, we have to diagnose and treat patients earlier, make genetic analysis to know the patients prognosis, and develop more sophisticated distraction devices.

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