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Plagiocephaly

 


Plagiocephaly is the premature fusion of the coronal suture.  The coronal suture extends from ear to ear with its central point being the "soft-spot" of a child's skull. It is usually not associated with mental deficiencies and children usually of normal intelligence. Plagiocephaly may be unilateral (one-sided) or bilateral (two-sided). The appearance of a child with plagiocephaly is such that half of the forehead appears to be "pushed" in giving a prominence to the eye and an asymmetry to the forehead. Additionally, there can be narrowing of the temple on the affected side. Radiographically, the child presents with a Harlequin shaped orbit as can be seen on the x-ray listed with the photographs.

Surgery to correct Plagiocephaly is ideally performed between the ages of 3-12 months of age by a team of craniofacial surgeons. Dr. Elliot Duboys, MD is emeritus associate director of the Cleft and Craniofacial Team at University Medical Center, Stony Brook and works with Dr. Michael Egnor,  Professor and Pediatric Neurosurgeon,  at University Medical Center - Stony Brook.  Surgery results in more symmetrical forehead and a reshaping of the orbital rim and permits proper brain growth and development.

Note flattening of orbital rim on right

Harlequin Orbit

1 Year Post-Op

Shortly Post-Op

 

 

 

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