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Frontosphenoidal synostosis: a rare cause of unilateral anterior plagiocephaly

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Abstract

Introduction

When a child walks in the clinic with a unilateral frontal flattening, it is usually associated in our minds with unilateral coronal synostosis. While the latter might be the most common cause of anterior plagiocephaly, it is not the only one. A patent coronal suture will force us to consider other etiologies, such as deformational plagiocephaly, or synostosis of another suture. To understand the mechanisms underlying this malformation, the development and growth of the skull base must be considered.

Materials and methods

There have been few reports in the literature of isolated frontosphenoidal suture fusion, and we would like to report a series of five cases, as the recognition of this entity is important for its treatment.

Conclusion

Frontosphenoidal synostosis must be searched in the absence of a coronal synostosis in a child with anterior unilateral plagiocephaly, and treated surgically.

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References

  1. American Academy of Pediatrics AAP Task Force (1992) On infant positioning and SIDS: positioning and SIDS. Pediatrics 89(6 Pt 1):1120–1126

    Google Scholar 

  2. Bartlett SP, Whitaker LA, Marchac D (1990) The operative treatment of isolated craniofacial dysostosis (plagiocephaly): a comparison of the unilateral and bilateral techniques. Plast Reconstr Surg 85(5):677–683

    Article  PubMed  CAS  Google Scholar 

  3. Bertelsen T (1958) The premature synostosis of the cranial sutures. Acta Ophtalmol 36(Suppl 51):1–176

    CAS  Google Scholar 

  4. Bruneteau RJ, Mulliken JB (1992) Frontal plagiocephaly: synostotic, compensational, or deformational. Plast Reconstr Surg 89(1):21–31

    Article  PubMed  CAS  Google Scholar 

  5. Captier G, Leboucq N, Bigorre M, Canovas F, Bonnel F, Bonnafe A et al (2003) Plagiocephaly: morphometry of skull base asymmetry. Surg Radiol Anat 25(3–4):226–233

    Article  PubMed  CAS  Google Scholar 

  6. Cohen MM Jr (1991) Etiopathogenesis of craniosynostosis. Neurosurg Clin N Am 2(3):507–513

    PubMed  Google Scholar 

  7. Currarino G (1985) Premature closure of the frontozygomatic suture: unusual frontoorbital dysplasia mimicking unilateral coronal synostosis. AJNR Am J Neuroradiol 6(4):643–646

    PubMed  CAS  Google Scholar 

  8. Czorny A (2006) Movement of bone at the base and dysmorphogenesis of the skull. Neurochirurgie 52(2–3 Pt 2):160–183

    PubMed  CAS  Google Scholar 

  9. Dambrain R (1993) Microanatomie du squelette céphalique. In: Stricker M, Raphael B (eds) Croissance cranio-faciale normale et pathologique. Morphos, Reims, pp 191–233

    Google Scholar 

  10. Dundulis JA, Becker DB, Govier DP, Marsh JL, Kane AA (2004) Coronal ring involvement in patients treated for unilateral coronal craniosynostosis. Plast Reconstr Surg 114(7):1695–1703

    Article  PubMed  Google Scholar 

  11. Francel PC, Park TS, Marsh JL, Kaufman BA (1995) Frontal plagiocephaly secondary to synostosis of the frontosphenoidal suture. Case report. J Neurosurg 83(4):733–736

    PubMed  CAS  Google Scholar 

  12. Friede H, Lilja J, Andersson H, Johanson B (1983) Growth of the anterior cranial base after craniotomy in infants with premature synostosis of the coronal suture. Scand J Plast Reconstr Surg 17(2):99–108

    PubMed  CAS  Google Scholar 

  13. Goodrich JT (2005) Skull base growth in craniosynostosis. Childs Nerv Syst 21(10):871–879

    Article  PubMed  Google Scholar 

  14. Hoyte DA (1991) The cranial base in normal and abnormal skull growth. Neurosurg Clin N Am 2(3):515–537

    PubMed  CAS  Google Scholar 

  15. Richtsmeier JT, Grausz HM, Morris GR, Marsh JL, Vannier MW (1991) Growth of the cranial base in craniosynostosis. Cleft Palate Craniofac J 28(1):55–67

    Article  PubMed  CAS  Google Scholar 

  16. Rogers GF, Proctor MR, Mulliken JB (2002) Unilateral fusion of the frontosphenoidal suture: a rare cause of synostotic frontal plagiocephaly. Plast Reconstr Surg 110(4):1011–1021

    Article  PubMed  Google Scholar 

  17. Rogers GF, Mulliken JB (2005) Involvement of the basilar coronal ring in unilateral coronal synostosis. Plast Reconstr Surg 115(7):1887–1893

    Article  PubMed  CAS  Google Scholar 

  18. Sgouros S (2005) Skull vault growth in craniosynostosis. Childs Nerv Syst 21(10):861–870

    Article  PubMed  Google Scholar 

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Correspondence to Sandrine de Ribaupierre.

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de Ribaupierre, S., Czorny, A., Pittet, B. et al. Frontosphenoidal synostosis: a rare cause of unilateral anterior plagiocephaly. Childs Nerv Syst 23, 1431–1438 (2007). https://doi.org/10.1007/s00381-007-0469-4

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  • DOI: https://doi.org/10.1007/s00381-007-0469-4

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