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  1. Scaphocephaly

41. DISEASE: Scaphocephaly
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42. Isolated Craniosynostosis
deformity. Most often this is performed by craniofacial surgeons. scaphocephaly(from Greek skaphe ; light boat or skiff). back to top.
World Craniofacial Foundation
7777 Forest Lane, Ste C-621
P.O. Box 515838
Dallas, TX 75251-5838
fax 972-566-3850
Scaphocephaly Trigonocephaly Brachycephaly ... Kleeblattschadel Craniosynostosis is the premature fusion of one or more sutures (the growth centers) of the skull. This problem occurs in infants and can lead to an abnormal head shape. The resulting shape of the skull is characteristic of and can be classified by the affected suture. Surgical correction is often necessary depending on the severity of the deformity. Most often this is performed by craniofacial surgeons. Scaphocephaly
(from Greek "skaphe";
light boat or skiff) back to top This term describes a boat-shaped head which is associated with the early closure of the fontanelle (soft spot) and sagittal suture. This is the most common form of craniosynostosis. It is usually relatively benign condition in that intracranial pressure is usually in the normal range. Cranial surgery is usually recommended, however, to give a more normal appearance. Trigonocephaly
(from Greek "trigonos"; triangular)

MARIJA DJURIÆSREJIÆ The case of scaphocephaly in chinese skeletalmaterial. The case of scaphocephaly in Chinese skeletal material.
VOL. 7 (1999) - CONTENTS Analysis
VÁCLAV VANÈATA, VLADIMÍR PØÍVRATSKÝ, HELENA ZLÁMALOVÁ, MARINA VANÈATOVÁ AND IVAN MAZURA: A longitudinal study of ontogeny of Maccaca Mulata MARINA VANÈATOVÁ, VÁCLAV VANÈATA, ZDENKA JEØÁBKOVÁ, HELENA ZLÁMALOVÁ, JINDRA SKØIVÁNKOVÁ, JOSEF JANEÈEK: A longitudinal study of the growth and development of captive chimpanzees and orangutans ARTUR REWEKANT: Does the disturbance of the ontogeny during the initial phases of life influence the further individual growth? - An analysis of two stress indicators EL¯BIETA MI£OSZ: Variability of non-metric traits in the medieval population of £ekno, Poland MARIJA DJURIÆ-SREJIÆ: The case of scaphocephaly in chinese skeletal material Adult mortality and biodynamic characteristics in the early Middle Ages population at Bled, Slovenia EL¯BIETA MI£OSZ: Demographic structure of the local medieval and nineteenth century populations of £ekno, Poland ZBIGNIEW CZAPLA, ZBIGNIEW FOJUD: The appraisal of the scope for the application of nuclear magnetic resonance (NMR) measurement methods for the estimation of the biological age in various stages of human ontogeny Summary of the thesis MAGDALENA KOSIÑSKA: Synchronic and diachronic analysis of the level of development of quantitative traits development in ontogenesis AGNIESZKA KOZ£OWSKA: Adaptive interpretation of touch sensation in man
Václav Vanèata , Vladimír Pøívratský , Helena Zlámalová , Marina Vanèatová and Ivan Mazura
Division of Anthropology, Department of Biology and Environmental Education, Faculty of Education, Charles University in Prague, M. D. Rettigové 4, 116 39 Praha 1

44. Member Sign In
click image to zoom) Figure 2. Left Anteroposterior photograph of a 2week-oldinfant (adjusted age) born at 26 weeks' gestation with scaphocephaly and a CI
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45. Member Sign In
26). Figure 2. Left Anteroposterior photograph of a 2-week-old infant (adjustedage) born at 26 weeks' gestation with scaphocephaly and a CI of 60.
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46. Craniofacial Diseases
scaphocephaly Here we have premature fusion of the sagittal suture, as mentionedbefore there is no growth in a plain perpendicular to the line of the suture

47. Calvarial And Dural Reconstruction - Home Study Exmaination
Children with scaphocephaly may demonstrate which of the following? Secondaryscaphocephaly may be seen after shunting for hydrocephalus.
Calvarial and Dural Reconstruction
Chapter 14 Sagittal Synostosis: Current Approaches to Evaluation and Treatment
  • Which of the following is not true about sagittal synostosis?
  • It primarily affects females.
  • Sagittal synostosis is the most common type of craniosynostosis.
  • It has a frequency of 1:1000 live births.
  • These patients will manifest an elongated and narrow calvarial shape.
  • Children with scaphocephaly may demonstrate which of the following?
  • perisutural ridging at the sagittal suture
  • anterior bossing
  • occipital prominence
  • turricephaly ...
  • all of the above
  • Secondary scaphocephaly may be seen after shunting for hydrocephalus.
  • true
  • false
  • Premature closure of the sagittal suture is never associated with an increase in intracranial pressure.
  • true
  • false
  • Surgical intervention for scaphocephaly may include all of the following except
  • simple sagittal synostectomy.
  • the Pi procedure.
  • total calvarectomy with calvarial reconfiguration.
  • the application of Zenker's solution to the osteotomy site. ...
  • the reverse Pi procedure.
  • Unanticipated intracranial pathology may be seen in upward of 5% of patients with scaphocephaly. Which of the following may be demonstrated?
  • hydrocephalus
  • dysgenesis of the corpus callosum
  • focal cortical dysplasias
  • expanded subarachnoid spaces ...
  • all of the above
  • The Pi procedure may involve all of the following except
  • removal of bone along both sides of the sagittal suture.
  • 48. Classification Of Previously Unclassified Cases Of Craniosynostosis
    Of these, 1251 (85%) were nonsyndromic craniosynostoses and have been classifiedas scaphocephaly (592); trigonocephaly (172); plagiocephaly (190
    Classification of previously unclassified cases of craniosynostosis
    Paul D. Chumas, F.R.C.S.(SN), Giuseppe Cinalli, M.D., Eric Arnaud, M.D., Daniel Marchac, M.D., and Dominique Renier, M.D. Cases of craniosynostosis usually fall into well-demarcated categories: those related to a syndrome or identified by a combination of suture involvement and morphological appearance. Between 1976 and 1995, 53 (3.6%) of 1474 cases in the craniofacial databank were assessed and designated as nonsyndromic but unclassifiable. The records and radiological studies obtained in these patients were retrospectively analyzed and comparisons were made with patients classified in the databank as having simple craniosynostoses. "Two-suture synostosis" is a relatively straightforward condition and is treatable with standard craniosynostosis techniques. However, possibly as a result of surgical compromise when two sutures are involved, the rate of reoperation is far higher than in simple suture cases. In contrast, patients in the "complex" group presenting with severe multisuture involvement require a more tailor-made approach to their management that often entails a second procedure. Key Words * craniosynostosis * complex disease * cranial suture The classification of craniosynostoses depends on a combination of criteria: 1) whether the sutural disease is part of a syndrome; 2) the morphological appearance of the patient; 3) the actual sutures involved; and 4) progression of the disease over time.[1] Using these criteria, it is possible to classify the vast majority of craniosynostoses. In a minority of cases the initial classification proves to be incorrect and other features indicating a more complex nature become apparent. It is thus necessary to have a sufficient follow-up period to be confident that the initial diagnosis still holds.

    49. Search By Disease
    23 SBLA syndrome. 24 scaphocephaly. 25 scaphocephaly. 26 Scapuloperonealsyndrome, Xlinked. 27 Scheie syndrome. 28 Schizencephaly.

    Suture % Skull Shape. Sagittal 40 scaphocephaly. head shape scaphocephaly longand narrow skull (increased AP diameter); prominent occiput and broad forehead;
  • Pediatric Database (PEDBASE)
  • Discipline: CNS
  • Last Updated: 5/21/94
    A congential anomaly of the CNS characterized by premature closing of one or more cranial sutures due to abnormalities of skull development.
    • age of onset:
      • most cases evident at birth
    • risk factors:
      • familial - autosomal dominant and autosomal recessive
        • chrom.#: 7p21.3-p21.2
        • gene: ?
      • genetic syndromes account for 10-20% of cases:
        • Apert Syndrome
        • Chotzen Syndrome
        • Pfeiffer Syndrome
        • Carpenter Syndrome
        • Crouzon Syndrome
        1. Primary
      • 2. Secondary
        • results from failure of brain growth and expansion
        Suture % Skull Shape Sagittal 40 scaphocephaly Bicoronal 20 brachycephaly Unicoronal 15 plagiocephaly (frontal) Coronal + Sagittal 10 acrocephaly Total 10 microcephaly Metopic 4 trigonocephaly Lambdoid + Sagittal 1 plagiocephaly (occipital)
        1. Craniosynostosis
  • 51. Browse By Letter 'S'
    Scanned projection digital radiography Scanning equalization radiography (SER) Scanninggeometry Scanogram Scaphocapitate syndrome scaphocephaly (Volume VI 1
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    52. Principles Of Treatement Of Main Conditions Managed
    Removal of distorted forehead B which is replaced by a suitable piece taken fromthe cranial vault. scaphocephaly (elongation and narrowing of the skull).
    PRINCIPLES OF TREATMENT OF MAIN CONDITIONS MANAGED Visible scars are avoided as far as possible. The main approach to the craniofacial skeleton is made through the hairy scalp. A long incision from ear to ear is performed, with a zigzag in the temporal region. This type of incision enables good exposure and usually remains practically invisible after closure. The hair is not shaved. An additional incision is sometimes performed at the eyelid level, with no scar if inside the eyelid, or a nearly invisible scar if in the skin of the eyelid. Sometimes, an opening is also made in the mucosa of the mouth, at the inner side of the lip.. In some severe cases of medial cleft and hypertelorism, an incision on the nose, to remove an excess of skin or repair a distortion, is necessary. Also, very exceptionally, the forehead, eyelids or cheeks have to be approached by direct incisions. Craniosynostosis - Frontocranial Remodeling
    The deformed skull will be corrected by mobilizing the distorted part or parts and by maintaining them in normal position by adapted fixation.

    53. Phrenic Nerve Injury From Birth Trauma
    scaphocephaly. Cranial Suture Premature Closure. Sagittal Synostosis (scaphocephaly)Most common craniosynostosis form (1 in 4200 births);
    Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Neonatology Neurology Birth ... Subgaleal Hematoma Assorted Pages Dysraphism Cranial Dysraphism Spinal Dysraphism Myelomeningocele ... Newborn Reflexes Phrenic Nerve Injury from Birth Trauma Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Neonatology Index Birth Dermatology Otolaryngology Examination Ophthalmology Fluids, Electrolytes, and Nutrition Gastroenterology Hematology and Oncology Infectious Disease Laboratory General Pulmonology Neurology Orthopedics Pharmacology Premature Surgery Page Neurology Index Birth Caput Succedaneum Birth Caput Vacuum Birth Cephalhematoma Birth Skull Fracture Birth Skull Fracture Leptomeningeal Cyst Birth Subgaleal Dysraphism Dysraphism Cranial Dysraphism Spinal Dysraphism Spinal Myelomeningocele Dysraphism Spinal Spina Bifida Occulta Floppy Infant Palsy Brachial Palsy Brachial Duchenne-Erb Paralysis Palsy Brachial Klumpke Palsy Facial Palsy Laryngeal Palsy Phrenic Skull Craniosynostosis
  • Pathophysiology Associated with Brachial Birth Trauma Unilateral diaphragm paralysis Signs Respiratory distress Diminished breath sounds on affected side
  • 54. Index 83
    Scaling; Scalp Cyst; Scalp Dermatitis; Scalp Stimulation Test; Scalppicker'sNodule; scaphocephaly; Scaphoid Fracture; Scapula Fracture;
    Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Index A Index B Index C ... Index R Index S Index T Index U Index V Index W ... Index Z Index S Paid Advertisement (click above). Please see the privacy statement Although access to this page is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. Please see the Terms and Conditions . This page was written by Scott Moses, MD, and was last revised 2/11/2003. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook

    55. ETenet - Library
    ....... Synostosis means a union of adjacent bones. Synonyms include craniostenosis,plagiocephaly, scaphocephaly, and trigonocephaly. (Back to Top).

    56. MCG Craniofacial Center - Craniofacial Anomalies
    scaphocephaly (scapho=boat, skiff + cephaly=head) Also known as dolichocephaly (dolicho=long+ cephaly=head.) In this case, the head has a long, narrow shape.
    Medical College of Georgia Craniofacial Home A-Z Index MCG Home
    Children's Medical Center
    Craniofacial Team
    Craniofacial Center Personnel
    Cleft Family Information

    Craniofacial Anomalies

    Craniofacial Anomalies
    Before a child is born, the bones of the skull are not fused; this allows the bony plates of the skull to be more flexible, so the head can be molded during birth. Otherwise, it would be very difficult for a child's head to pass through the birth canal. Craniosynostosis is a condition that occurs when the bone junctions, or sutures, fuse prematurely. When some of the skull bones fuse in the womb, it can affect the baby's head shape. Sometimes the growth of the brain can also be influenced, and will benefit from surgical release of the constricted bones. Some examples follow. Click here to read about one family's experience. Plagiocephaly (plagio=oblique + cephaly=head) This condition presents with a lop-sided or twisted appearance to the head, with one side of the forehead or posterior head pushing out farther than the other. It can be associated with premature closure of one or both of the coronal or lambdoid sutures, or may come as a result of pressure of the mother's pelvic bones on the skull ( positional plagiocephaly Scaphocephaly (scapho=boat, skiff + cephaly=head)

    57. Rare Cephalies
    scaphocephaly applies to premature fusion of the sagittal suture. Thesagittal suture joins together the two parietal bones of skull.

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    Netfirms Web Hosting *~Less common Cephalic Disorders~* Directory: Cephalic Disorders Home Anecephaly Cebocephaly ... Research What Are Other Less Common Cephalic Disorders? ACEPHALY EXENCEPHALY is a condition in which the brain is located outside of the skull. This condition is usually found in embryos as an early stage of anencephaly. As an exencephalic pregnancy progresses, the neural tissue gradually degenerates. It is unusual to find an infant carried to term with this condition because the defect is incompatible with survival. MACROCEPHALY is a condition in which the head circumference is larger than average for the age and gender of the infant or child. It is a descriptive rather than a diagnostic term, and is a characteristic of a variety of disorders. Macrocephaly also may be inherited. Although one form of macrocephaly may be associated with mental retardation, in approximately one-half of cases mental development is normal. Macrocephaly may be caused by an enlarged brain or hydrocephalus. It may be associated with other disorders such as dwarfism, neurofibromatosis, and tuberous sclerosis. MICRENCEPHALY is a disorder characterized by a small brain and may be caused by a disturbance in the proliferation of nerve cells. Micrencephaly may also be associated with maternal problems such as alcoholism, diabetes, or rubella (German measles). A genetic factor may play a role in causing some cases of micrencephaly. Affected newborns generally have striking neurological defects and seizures. Severely impaired intellectual development is common, but disturbances in motor functions may not appear until later in life.

    Dictionary FastHealth Email This! scaph·o·ceph·a·ly n, pl lies a congenital deformity of the skull in which the vault is
    Dictionary FastHealth Email This!
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    59. Children's Hospital Of NewYork-Presbyterian
    scaphocephaly a form of craniosynostosis that results in a long, narrowhead. scaphocephaly is an early fusion of the sagittal suture.

    60. Craniosynostoses
    Fusion of the sagittal suture (which runs from front to back along the top of theskull) produces an elongated head, a deformity characterized as scaphocephaly
    PREMATURE FUSION OF CRANIAL SUTURES Cranial sutures represent structures where the bones of the skull join each other to form the cranial vault. During the first year of life, the thrust of the rapidly growing brain exerts a separative force in a direction perpendicular to the intervening suture, resulting in normal growth of the skull. When growth is complete, the sutures gradually become fused. Occasionally cranial sutures fuse prematurely. This pathological condition causes a variety of disturbances, ranging from a mild deformity of the shape of the head, to much more severe deformities and functional problems which are likely to affect the child’s health and development. In synostosis of a single suture (although it is questionable that premature fusion of a single suture truly exists), growth is halted in the direction perpendicular to the suture involved. Because of this restriction, the continuing expansion of the brain pushes in a compensatory way other areas of the skull. A deformity develops which is specific of the obliteration of that particular suture. Premature fusion of one side of the coronal suture results in a deformity called plagiocephaly . On the side of the fusion the forehead is flat or even concave, and the orbit (the bones of the facial skeleton containing the eye) is displaced upwards. On the opposite side the forehead bulges abnormally. If this condition is not corrected early in life, the jaws may also become asymmetrical making surgical correction a much more complex undertaking.

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