Sagittal Craniosynostosis

Sagittal Craniosynostosis is one of the more common forms of Craniosynostosis and it accounts for approximately 40% of all single-suture synostosis. The sagittal suture lies along the midline of the skull. When this suture fuses prematurely, the head cannot grow in width, but must grow in length to accommodate the expanding brain.

Sagittal Craniosynostosis can be corrected within the first year of life using new endoscopic techniques and biodegradable technology.

When caught early, children with sagittal synostosis are candidates for a new minimally invasive endoscopic approach. Preferably this surgery would take place between 2-4 months of age. While the endoscopic procedure is a less invasive surgery, children who have this procedure will need to wear a molding band to assist in refining the surgical result. Because of the young age of the child, the skull grows quite rapidly following surgery. An orthotist fits the child for the helmet about 7 days after surgery (when the swelling has resolved). The helmet/band is then custom made and ready for wear about 10 days to 2 weeks after surgery. This band will need to be worn for 23 hours a day for an average of 3-4 months. Sometimes a second band is necessary to obtain the best result.

When children with sagittal synostosis present at older ages, correction involves cranial vault reconstruction (CVR), which can be carried out using a standard coronal incision from ear to ear that is hidden in the hair.  



Characteristics of Sagittal Craniosynostosis:

~Elongated skull shape (front to back)

~Narrow skull shape

(side to side)

~Midline bony ridge

~Frontal bossing

~Occipital prominence

Sagittal Craniosynostosis