1
|
Scalds and the Hazards of Hair Braiding – The first UK series from a Paediatric Tertiary Burns Centre. BURNS OPEN 2022. [DOI: 10.1016/j.burnso.2022.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
|
2
|
Rogers GF, Greene AK, Proctor MR, Mulliken JB, Goobie SM, Stoler JM. Progressive Postnatal Pansynostosis. Cleft Palate Craniofac J 2018; 52:751-7. [DOI: 10.1597/14-092] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective To describe the subtle clinical features, genetic considerations, and management of progressive postnatal pansynostosis, a rare form of multisutural craniosynostosis that insidiously occurs after birth and causes inconspicuous cranial changes. Design, Participants, Setting The study is a retrospective chart review of all patients diagnosed with progressive postnatal pansynostosis at a major craniofacial center between 2000 and 2009. Patients with kleebattschädel were excluded. Results Nineteen patients fit our inclusion criteria. Fifteen patients had a syndromic diagnosis: Crouzon syndrome (n = 8), Saethre-Chotzen syndrome (n = 5), and Pfeiffer syndrome (n = 2). With the exception of one patient with moderate turricephaly, all patients had a relatively normal head shape with cranial indices ranging from 0.72 to 0.93 (mean, 0.81). Patients were diagnosed at an average of 32.4 months; craniosynostosis was suspected based on declining percentile head circumference (n = 14), detection of an apical prominence (n = 12), papilledema (n = 7), and worsening exorbitism (n = 3). Nearly all patients had evidence of increased intracranial pressure. Conclusion Progressive postnatal pansynostosis is insidious; diagnosis is typically delayed because the clinical signs are subtle and appear gradually. All infants or children with known or suspected craniosynostotic disorder and a normal head shape should be carefully monitored; computed tomography is indicated if there is any decrease in percentile head circumference or symptoms of intracranial pressure.
Collapse
Affiliation(s)
- Gary F. Rogers
- George Washington School of Medicine, Children's National Medical Center, Washington, DC
| | - Arin K. Greene
- Harvard Medical School, Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts
| | - Mark R. Proctor
- Harvard Medical School, Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts
| | - John B. Mulliken
- Harvard Medical School, Cleft and Craniofacial Program, Boston Children's Hospital, Boston, Massachusetts
| | - Susan M. Goobie
- Harvard Medical School, Department of Anesthesia, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts
| | - Joan M. Stoler
- Harvard Medical School, Division of Genetics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| |
Collapse
|