The surgical management of scaphocephaly in a seven-month-old infant
Department of pediatric surgery, visceral and urology, Hassan II University Hospital of Fez, Morocco.
Faculty of medecine, pharmacy and dental médecine, Sidi Mohamed BenAbdellah University of Fes, Morocco.
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(01), 1954-1957
Publication history:
Received on 15 March 2024; revised on 26 April 2024; accepted on 29 April 2024
Abstract:
Introduction: Scaphocephaly is a cranial malformation resulting from premature closure of the sagittal suture. In some cases, the diagnosis is made late, leading to delayed corrective surgery. Due to the necessity of early surgical intervention, we present this condition to facilitate understanding by any physician and improve the quality of life for patients.
Observation: A seven-month-old female infant presented with worsening cranial vault deformity present since birth. Morphologically, the patient exhibited a narrow and elongated head, accompanied by a median frontal bulge, with a cranial circumference of 49 cm.
Standard frontal and lateral radiographs revealed an elongated skull with closure of the sagittal suture. CT scan revealed complete fusion of the sagittal suture with the classic appearance of "boat-shaped" skull.
We employed the standard H-type craniectomy method.
The surgical outcome, assessed 8 months post-intervention, was satisfactory both neurologically and in terms of psychomotor and aesthetic development.
Conclusion: Without intervention, scaphocephaly can lead to aesthetic discomfort and contribute to low self-esteem, as well as difficulties in social, academic, and professional integration.
Keywords:
Scaphocephaly; Craniosynostosis; Cranial; Surgical; Infant.
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