Скачать или смотреть Craniosynostosis in Children | Dr Naresh Biyani

Craniosynostosis is a congenital condition that affects the normal growth of a child's skull. In this educational video, Dr Naresh Biyani, Senior Consultant in Pediatric Neurosurgery, provides an in-depth explanation of what craniosynostosis is, how it is diagnosed, and the surgical treatment options available.

What is Craniosynostosis?
Craniosynostosis occurs when one or more of the sutures in a baby’s skull close too early, before the brain has fully developed. This premature fusion restricts the skull’s ability to expand normally, often leading to abnormal head shapes and, in some cases, increased intracranial pressure.

Common signs and symptoms include:

Ellipsoid or triangular-shaped head

Flattening of the forehead on one side

Bulging eyes (proptosis)

Larger-than-normal head circumference

Visible skull deformities in infancy

Delayed development in severe cases

The condition may be genetic in origin and can vary widely in severity. Some children may have only one suture affected, while others may have multiple fused sutures, significantly impacting brain growth.

Diagnosis and Imaging
Early diagnosis is crucial. A 3D skull CT scan is typically used to confirm the presence of fused sutures and evaluate the extent of the condition. In complex cases, multidisciplinary evaluation is recommended, involving:

Pediatric neurosurgeons

Craniofacial plastic surgeons

Pediatric ophthalmologists

This comprehensive approach ensures all developmental and structural concerns are addressed appropriately.

Treatment Options for Craniosynostosis
Dr Naresh Biyani discusses several surgical techniques designed to correct skull deformities and relieve pressure on the brain:

Frontal Orbital Advancement: Recommended for frontal deformities and proptosis

Total Calvarial Remodeling: Used when multiple sutures are involved

Posterior Vault Expansion: Often done in younger children with raised intracranial pressure

These procedures aim to restore normal skull shape, protect brain function, and support healthy development. The timing of surgery is an important factor — early intervention often leads to better outcomes.

Why Early Detection Matters
Without treatment, craniosynostosis can lead to complications such as:

Delayed brain development

Vision problems due to increased pressure

Cognitive and motor delays

Aesthetic concerns impacting psychological well-being

This video is a valuable resource for parents, pediatricians, and medical professionals to recognize the signs of craniosynostosis, understand the importance of imaging, and explore surgical options for treatment.

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