Clinical Management of Craniosynostosis

Children with craniosynostosis are born with congenital deformities of the face and skull. In severe cases associated problems are common. The child who is not properly cared for can end up blind, deaf and with severe learning difficulties. In addition, they may be left with unacceptable facial deformities. Outside specialized craniofacial units, there is at present nowhere for those involved in primary or secondary care to go for help with the many practical problems that these children present. In this book, a distinguished team of editors have assembled experts in the field to introduce the non-craniofacial specialist to what can be achieved and how they can contribute to the child’s welfare. It will be essential reading for paediatricians seeking practical information about the management of these disorders, and for specialists in neurosurgery, ENT, ophthalmology, plastic surgery, maxillo-facial surgery, orthodontics, psychology, genetics, anaesthesia, audiology and speech therapy.

Clinics in Developmental Medicine No. 163

AUTHORS’ APPOINTMENTS vii
PREFACE ix
Paul Tessier
INTRODUCTION xiii
Richard Hayward, David Dunaway, Robert D. Evans and Barry Jones
ACKNOWLEDGEMENTS xv
1. CRANIOFACIAL GROWTH AND DEVELOPMENT: A CLINICAL PERSPECTIVE 1
David Dunaway
2. CLASSIFICATION AND CLINICAL DIAGNOSIS 12
D.N.P. Thompson and Jonathan Britto
3. SYNDROMIC CRANIOFACIAL DYSOSTOSIS: MOLECULAR AND DEVELOPMENTAL ASPECTS 45
Jonathan Britto and Willie Reardon
4. INCIDENCE AND EPIDEMIOLOGY OF CRANIOSYNOSTOSIS 72
Louise C. Wilson
5. PRENATAL DIAGNOSIS OF CRANIOSYNOSTOSIS 85
Olav B. Petersen and Lyn S. Chitty
6. IMAGING THE PATIENT WITH CRANIOSYNOSTOSIS 98
R.I. Aviv, D. Armstrong and W.K. Chong
7. PRINCIPLES OF MANAGEMENT OF THE CHILD WITH CRANIOSYNOSTOSIS 116
Richard Hayward and Barry Jones
8. MANAGEMENT OF RAISED INTRACRANIAL PRESSURE 137
Richard Hayward and Ken K. Nischal
9. AIRWAY MANAGEMENT IN SYNDROMIC CRANIOSYNOSTOSIS 161
Susanna Leighton and Roderick Lane
10. OCULAR ASPECTS OF CRANIOSYNOSTOSIS 192
Ken K. Nischal
11. THE DENTAL AND ORTHODONTIC MANAGEMENT OF CRANIOSYNOSTOSIS 211
Robert D. Evans and Rachel Bradford
12. THE CHILD WITH CRANIOSYNOSTOSIS: PSYCHOLOGICAL ISSUES 227
Daniela Hearst
13. NEUROLOGICAL PROBLEMS IN THE CHILD WITH CRANIOSYNOSTOSIS AND THE ROLE OF THE PAEDIATRICIAN IN OVERALL MANAGEMENT 261
Lucinda J. Carr
14. SPEECH AND LANGUAGE CHARACTERISTICS OF CHILDREN WITH CRANIOSYNOSTOSIS 270
Caroleen Shipster
15. HEARING PROBLEMS IN CHILDREN WITH CRANIOSYNOSTOSIS 299
Tony Sirimanna
16. FEEDING PROBLEMS IN SYNDROMIC CRANIOSYNOSTOSIS 311
Valerie Pereira
17. THE ROLE OF THE CLINICAL NURSE SPECIALIST 339
Andrea White
18. ANAESTHESIA FOR CRANIOSYNOSTOSIS SURGERY 355
S. Mallory and R. Bingham
19. SURGERY 374
Barry Jones, David Dunaway and Richard Hayward
AFTERWORD: THE EVOLUTION OF A MODERN CRANIOFACIAL UNIT 401
Barry Jones
INDEX 404