The skull is comprised of the
paired frontal, temporal, parietal and the occipital bones. The
areas where one bone meets another is called a "suture." Where the
confluence of the frontal and parietal bones comes together is known as
the anterior fontanelle or soft spot. The skull grows by deposition
of bone at these "sutures." It is only during completion of skull
growth that these "sutures" close.
Occasionally, during in utero
development these bones fuse prematurely. When the bones fuse
prematurely the condition is known as craniosynostosis..
Your pediatrician can diagnosis
craniosynostosis by serial skull measurements, x-rays or you may note an
abnormal skull shape manifested by a flattening or prominence of certain
areas of the skull.
Surgery to correct
cranosynostosis is ideally performed between the ages of 3 - 6 months of
Please note that not all
abnormal skull shapes are due to craniosynostosis and after an adequate
work-up your physician will be able to tell you which are.
Some of the more frequent
craniosynostoses are plagiocephaly, trigonocephaly, scaphocephaly.
Dr. Duboys has a special
interest is this surgery and all surgery is performed as a team with
neurosurgeon, Dr. Michael Egnor, MD, Professor at Stony Brook University.