Photos and Text Source: Hellenic Craniofacial Center (HCC). GCC was founded by the late Dr. Alexander Stratoudakis and is directed by Dr. Costas Alexandrou, Craniofacial Surgeon, Member of the Cyprus Center for Cleft and Facial Deformities, MEDICLEFT.
Plagiocephaly is a term used for the description of the asymmetric formation of the skull and is divided into two categories: frontal plagiocephaly and occipital plagiocephaly.
The term frontal plagiocephaly describes the creep and the asymmetry of the forehead due to premature closure (early synostosis) of the left or the right coronary sutures.
The characteristics are as follow:
On the side of the problem the forehead is wide (flat) or even hollow.
The base of the nose is drawn to the affected side.
The orbit rises relatively to the orbit of the opposite side.
The eyebrow is usually at a higher position.
The ear also moves more to the front.
On the opposite side the forehead rises more, a phenomenon caused by the pressure that is exerted by the brain in an effort to ensure the necessary space for its development.
Diagnosis is necessary to be done during the first months of infancy, because confronting frontal synosteotic plagiocephaly synostosis is always surgical and ideally should be done by the sixth to the twelfth month of age, in order to ensure the best possible benefits.
The deformity that is considered of minor importance by many parents, is actually developing into a serious problem, because as time passes it deteriorates and at an older age the surgical correction is considerably harder.
The treatment of frontal plagiocephaly is performed by a surgical Craniofacial TEAM. In this case the craniofacial plastic surgeon collaborates with the neurosurgeon.
Occipital plagiocephaly is the creep and the asymmetry of the posterior part of the head. Most cases of occipital plagiocephaly are due to the external pressure on the skull (endometrial or after birth), while a small percentage is due to premature closure (synostosis) of the lambdoid suture. The treatment of occipital plagiocephaly from premature synostosis of lambdoid suture is surgery.
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