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Unilateral Coronal Craniosynostosis

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Textbook of Pediatric Neurosurgery

Abstract

Unilateral coronal craniosynostosis (UCC) or anterior plagiocephaly still represents a challenge to the neurosurgeon for the difficulties in properly evaluating the variable phenotypic presentation, the underlying genetic anomalies, the limits of the surgical correction, and, consequently, in predicting the prognosis. Differently from the other single-suture craniosynostoses, in this condition, the pathologic process is not limited to the neurocranium but it extends to the skull base and the facial skeleton with variable degree in the affected patients. The early surgical correction is effective, both cosmetically and functionally, when the early fusion of the hemicoronal suture represents the main pathological finding. On the other hand, in subjects with extensive involvement of the skull base and facial bones, the surgical repair performed in the first months of life is not sufficient. Then, the patient will require further craniofacial operations during life to further improve the functional and cosmetic outcome. A proper classification of the different degrees of severity of the malformation might help in establishing a correct surgical planning and predicting the prognosis more accurately.

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  1. Pediatric Neurosurgery – A Gemelli Hospital, Largo A. Gemelli, 8, 00168, Rome, Italy

    Luca Massimi

  2. Pediatric Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

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  1. Luca Massimi
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  2. Concezio Di Rocco
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Correspondence to Luca Massimi .

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    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

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  1. Pediatric Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. University of Paris, Paris, France

    Rocco, F Di

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Massimi, L., Di Rocco, C. (2017). Unilateral Coronal Craniosynostosis. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_59-1

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