Clinical Manifestations and Surgical Treatment of Craniosynostosis in Mosul City�Iraq

Abstract

Introduction: Craniosynostosis is a condition in which one or more of the fibrous sutures in an infant skull prematurely fuses by turning into bone. Aim: Evaluate the clinical manifestations of craniosynostosis, imaging and surgical treatment with their complications. Materials and Methods: The study comprised twenty one patients complaining from craniofacial deformity. The patients evaluated by recording the medical history, clinical examination and diagnosed by imaging that included a plain X-ray and computed tomography. The goal of surgery is to open the fused sutures, reshape the head and allow for normal brain and skull growth. According to the type of material that used to fixate the cranial bones, the patients divided into 3 groups, Group A: Titanium plate and stainless steel wire; Group B: Stainless wire; Group C: Absorbable suture. Results: The clinical examination showed cranial bones deformity in all patients while 4 patients involved by papilloedema. The plain X-ray for the skull diagnosed 4 cases by showed beaten copper appearance, while the computed tomography gave excellent evaluation for all cases. The nonsyndromic craniosynostosis formed (90.4%) and coronal suture involvement formed (61.9%). The follow-up showed that the group C had more cosmetic improvement and more comfortable than group A and B, and there were 4 patients in group A and 2 patients in group B complained from extracranial prominent of plates and wire. Discussion: The advantages of absorbable suture included lower costs, speed of application, and absence of translocation. Conclusion: The most clinical manifestations were cranial deformity while visual deterioration was often late manifestations. The computed tomography scan represents the gold standard evaluation for craniosynostosis. The use absorbable suture in bone fixation showed more cosmetic improvement and more comfortable to the patients with low complication rate. *Corresponding author: Israa Anwar Abd al-Hameed, BDS, MSc Department of Periodontology, School Dentistry College, Mosul University Mosul, Iraq E-mail: amertaqa@hotmail.com Citation: Abd al-Hameed IA, Taha YA, Mahmood AS. Clinical manifestations and surgical treatment of craniosynostosis in Mosul city–Iraq. J Dents Dent Med. 2019 Mar;2(1):128 Copyright: © 2019 Abd al-Hameed IA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 international License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 1Dentistry College, Mosul University, Mosul, Iraq 2Department of Surgery, Mosul College of Medicine, Mosul University, Mosul, Iraq 3Department of Maxillofacial Surgery, AL-Jumhory Teaching Hospital, Mosul, Iraq Israa Anwar Abd al-Hameed1* Yasir Adil Taha2 Ali Salim Mahmood3