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2016 ; 59
(3
): 242-6
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Neurodevelopmental Problems in Non-Syndromic Craniosynostosis
#MMPMID27226855
Shim KW
; Park EK
; Kim JS
; Kim YO
; Kim DS
J Korean Neurosurg Soc
2016[May]; 59
(3
): 242-6
PMID27226855
show ga
Craniosynostosis is the premature fusion of calvarial sutures, resulting in
deformed craniofacial appearance. Hence, for a long time, it has been considered
an aesthetic disorder. Fused sutures restrict growth adjacent to the suture, but
compensatory skull growth occurs to accommodate the growing brain. The primary
goal for the management of this craniofacial deformity has been to release the
constricted skull and reform the distorted shape of the skull vault. However, the
intellectual and behavioral prognosis of affected children has also been taken
into consideration since the beginning of the modern era of surgical management
of craniosynostosis. A growing body of literature indicates that extensive
surgery, such as the whole-vault cranioplasty approach, would result in better
outcomes. In addition, the age at treatment is becoming a major concern for
optimal outcome in terms of cosmetic results as well as neurodevelopment. This
review will discuss major concerns regarding neurodevelopmental issues and
related factors.