Craniofacial Disorders – Preoperative Management
The operative management of craniosynostosis is tailored to the type and severity, as well as the age of the patient. The principle goal in the treatment of craniosynostosis is to remove and remodel fused sutures in the skull.
Children with syndromic craniosynostosis often suffer from progressive synostosis of multiple sutures of the skull and skull base. These patients require additional surgical consideration.
- Hydrocephalus: More common in children with multiple synostoses
- Airway management: Cranial base abnormalities and midface anomalies can cause significant airway obstruction. This airway obstruction can often lead to prolonged operative intubation or tracheotomy placement and it is imperative to discuss these possibilities with your surgeon.
- Ophthalmological Consideration: Children with syndromic craniosynostosis have severe craniofacial deformities typically involving shallow orbits and abnormally long or short distance between the eyes. In these cases, an oculoplastic evaluation should be obtained in order to assure that measures are taken to protect the orbits.