Dr. Amitabha Chanda

MBBS, MS(General Surgery)

MCh(Neurosurgery)

Consultant Neurosurgeon

Apollo Hospitals, Dhaka

Bangladesh

Craniosynostosis (Plagiocephaly)

A six-month-old child presented with deformed head and face. She was suffering from a congenital (inborn) disease called craniosynostosis. When an infant is born, skull bones are floating, so that with the growth of brain, the skull can expand. As the child grows, the brain grows in size and at the end the skull bones fuse. The skull bones fuse along the lines called sutures. In craniosynostosis the sutures fuse prematurely and the growth of the skull cannot occur. The brain growth continues and causes rise of intracranial pressure. The vision can be lost. Occasionally, the defective growth of skull causes deformity of the face. This has happened with the girl. She had prematurely fused coronal suture. This caused flat forehead on right side and protruded eyeballs. These deformities needed to be corrected. A 3D-CT was done and a model was created to do a prior bench surgery. She underwent operation and the deformity was completely corrected.
Preoperative Picture
3D-CT showing the deformity
Model made for Bench Surgery
Operative picture
Operative picture at the end of operation
Postoperative result