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  1. Scaphocephaly

21. An Easier Surgery For Babies With Scaphocephaly
Where traditional surgery to correct scaphocephaly takes about 4 hours, scaphocephaly is the most common type of craniosynostosis, the premature closure
http://www1.wfubmc.edu/articles/Scaphocephaly
Featured Article An Easier Surgery for Babies with Scaphocephaly
from BestHealth , October 2003 Everyone knows to protect the soft spot—the fontanelle—on a baby’s head. The bones are open at the front of the skull to allow room for baby’s brain to grow. But in one of every 1,500 births, these bones are prematurely closed. The only remedy is surgery. Thanks to a plastic surgeon at Wake Forest University Baptist Medical Center, there’s now a minimally invasive procedure available in the United States to correct one type of premature cranial suture fusion, known as scaphocephaly. Dr. Lisa David spent six months in Sweden learning a breakthrough surgical technique developed by Dr. Claes Lauritzen, head of the International Craniofacial Society. Working with pediatric neurosurgeon Steven Glazier, M.D., David has performed the procedure on 21 infants at WFUBMC—the only U.S. institution now offering the approach. She is also training others to perform this minimally invasive operation. Where traditional surgery to correct scaphocephaly takes about 4 hours, requires a blood transfusion and a 4-day hospital stay, David’s initial procedure takes an hour and requires only an overnight stay. She inserts metal springs into the baby’s skull in place of the fused bone, then removes them several months later after the head has reshaped properly. Because the incision is tiny, the baby is left with a small scar rather than one that runs from ear to ear, and there is no need for a blood transfusion.

22. My Experience With Scaphocephaly
My Experience with scaphocephaly, a form of craniosynostosis.
http://www.homewiththekids.com/family/scaphocephaly.htm
My Experience with Scaphocephaly
My Experience with Scaphocephaly Getting the CT Scan Craniosynostosis Surgery Scaphocephaly Pictures ... Craniosynostosis Resources My son, Gage, was born on February 23, 2005, by urgent C-section due to very low amniotic fluid, slightly small size, and breech presentation. I was 36.5 weeks along, so he was just a tiny bit premature too. We noticed early on that his head was somewhat oddly shaped, but didn't think much of it, since the doctors didn't seem to be concerned. We just figured that it was because it hadn't been reshaped by the birth canal. This perception changed when Gage was about a month old. I took him to the doctor's office one evening because he had a very bad cold and had been vomiting. I didn't get to see my usual pediatrician, but the doctor we saw was very reassuring that he was all right in terms of the cold; however, she was concerned about the size and shape of his head and told me to take him for an x-ray the following morning. She didn't tell me why, but I overheard her talking to another doctor who was there at the time and caught the word "scaphocephalus." Since I am a medical transcriptionist, the word was fairly easy to remember, even though it was unfamiliar. I don't do pediatric transcriptions. I went home and typed "scaphocephalus" into Google. No clear results... most of them were in foreign languages.

23. Scaphocephaly/Craniosynostosis Pictures Before And After Surgery
Before and after craniosynostosis surgery of my son. He was born with the variety called scaphocephaly.
http://www.homewiththekids.com/family/scaphocephaly-pictures.htm
Scaphocephaly/Craniosynostosis Pictures
Before and After Surgery
My Experience with Scaphocephaly Getting the CT Scan Craniosynostosis Surgery Scaphocephaly Pictures ... Craniosynostosis Resources Here are some pictures of Gage before his surgery. As you can see, his head is very narrow and rather elongated, but otherwise, he looks just fine. Immediately after the surgery, there was some definite swelling, but nothing serious. Maybe it's the mother in me, but I can't help but think he looked cute even in his bandages. The sutures are definitely not the prettiest site I've ever seen, but it was still wonderful to have the bandages off. The scaphocephaly is still quite evident, but that will be true until after the helmet surgery, and I understand he is likely to always have a somewhat narrow head, but it will not be so obvious as it would have been without surgery. You can see the two incisions best in the top view. There's one near the forehead, and one, somewhat harder to see, toward the back of the head. It amazes me that they don't have to shave his head for this kind of surgery, but I understand that's not so uncommon anymore. I'll add pictures as the helmet therapy gets going so the changes over time are evident. For now, here's a picture of Gage the day he got his helmet. I'll also add pictures as we decorate it, just because that part's fun!

24. Scaphocephaly
Complete online version of The Encyclopaedia of Medical Imaging including text and images from The Encyclopaedia of Medical Imaging s eight book volumes
http://www.amershamhealth.com/medcyclopaedia/medical/Volume VII/SCAPHOCEPHALY.as

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our commitment our company Search Medcyclopaedia for: Search marked text (mark text before you click) Browse entry words starting with: A B C D ... amershamhealth.com Scaphocephaly, a long narrow head shape secondary to premature fusion of the sagittal suture ( Fig.1 ). Scaphocephaly is usually isolated and not associated with syndromes.
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The Encyclopaedia of Medical Imaging Volume VII Scaphocephaly, Fig. 1 (a) Frontal and (b) lateral skull radiographs of a boy with sagittal suture stenosis. The long, narrow head is noted on the lateral radiograph. The stenosed suture is seen as the increased density seen centrally on the AP radiograph. This child also has deformity of the sphenoidal bone but this is not normally part of scaphocephaly.
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25. Www.amershamhealth.com/medcyclopaedia/medical/Volu
scaphocephalyscaphocephaly. scaphocephaly. Craniosynostosis, sagittal. scaphocephaly (Sagittal synostosis) scaphocephaly (Sagittal synostosis) Sagittal Synostsis
http://www.amershamhealth.com/medcyclopaedia/medical/Volume VI 1/SCAPHOCEPHALY.a

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our commitment our company Search Medcyclopaedia for: Search marked text (mark text before you click) Browse entry words starting with: A B C D ... amershamhealth.com Scaphocephaly, see dolicocephaly
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The Encyclopaedia of Medical Imaging Volume VI 1
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26. Familial Scaphocephaly Syndrome Caused By A Novel Mutation In The FGFR2 Tyrosine
Familial scaphocephaly syndrome caused by a novel mutation in the FGFR2 tyrosine kinase domain. G McGillivray1 , R Savarirayan1,2,3 , TC Cox4,5,*
http://jmg.bmjjournals.com/cgi/content/extract/42/8/656

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Vol Page [Advanced] Journal of Medical Genetics :656-662; doi:10.1136/jmg.2004.027888
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Genetics
LETTER TO JMG
Familial scaphocephaly syndrome caused by a novel mutation in the FGFR2 tyrosine kinase domain
G McGillivray R Savarirayan T C Cox C Stojkoski R McNeil A Bankier J F Bateman T Roscioli R J M Gardner and
Cell and Matrix Biology, Murdoch Childrens Research Institute
School of Molecular and Biomedical Science, University of Adelaide, Australia
Australian Craniofacial Institute, North Adelaide, Australia

27. Mulibrey Nanism: Clinical Features And Diagnostic Criteria -- Karlberg Et Al. 41
characteristic craniofacial features of scaphocephaly, and scaphocephaly with occipitofrontal bossing was seen in over 80% of the patients (table 2
http://jmg.bmjjournals.com/cgi/content/full/41/2/92

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Vol Page [Advanced] This Article Abstract Full Text (PDF) Submit a response ... Citation Map Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Cited by other online articles PubMed PubMed Citation Articles by Karlberg, N Articles by Lipsanen-Nyman, M Related Collections Diagnostics
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REVIEW
Mulibrey nanism: clinical features and diagnostic criteria
N Karlberg H Jalanko J Perheentupa and M Lipsanen-Nyman The Hospital for Children and Adolescents, Biomedicum Helsinki, University of Helsinki, 00029 HYKS, Finland Correspondence to:
Dr M Lipsanen-Nyman
The Hospital for Children and Adolescents, University of Helsinki, 00029 HYKS, Finland;
ABSTRACT
Mulibrey nanism (MUL) is an autosomal recessive disease caused by mutations in the gene encoding the peroxisomal TRIM37 protein of unknown function. In this work, we analysed the clinical

28. Neurocognitive Sequelae Of Scaphocephaly -- Virtanen Et Al. 103 (4): 791 -- Pedi
Early cranioplasty for scaphocephaly has become routine in most countries. scaphocephaly or dolichocephaly is the most common form of craniosynostosis.
http://pediatrics.aappublications.org/cgi/content/full/103/4/791
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PEDIATRICS Vol. 103 No. 4 April 1999, pp. 791-795
Neurocognitive Sequelae of Scaphocephaly
Riitta Virtanen, MD Tapio Korhonen, PhD Janita Fagerholm, MA and Jouko Viljanto, MD From the Departments of Pediatric Surgery and Child Psychiatry, Turku University Central Hospital, Turku, Finland.
ABSTRACT Top
Abstract
Results
Discussion
References Objective. Early cranioplasty for scaphocephaly has become routine in most countries. In addition to normalizing the shape of the skull, it has been found to decrease intracranial hypertension. Whether corrective surgery benefits the child's cognitive outcome has been poorly documented.

29. Neurocognitive Sequelae Of Scaphocephaly -- Virtanen Et Al. 103 (4): 791 -- Pedi
Early cranioplasty for scaphocephaly has become routine in most countries. Key words craniosynostosis, scaphocephaly, cranioplasty, neurocognitive,
http://pediatrics.aappublications.org/cgi/content/abstract/103/4/791
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PEDIATRICS Vol. 103 No. 4 April 1999, pp. 791-795
Neurocognitive Sequelae of Scaphocephaly
Received Jan 27, 1998; accepted Oct 16, 1998. Riitta Virtanen Tapio Korhonen Janita Fagerholm and Jouko Viljanto From the Departments of Pediatric Surgery and Child Psychiatry, Turku University Central Hospital, Turku, Finland. Objective. Early cranioplasty for scaphocephaly has become routine in most countries. In addition to normalizing the shape of the skull, it has been found to decrease intracranial hypertension. Whether corrective surgery benefits the child's cognitive outcome has been poorly documented. Design.

30. Scaphocephaly - BlueRider.com
scaphocephaly listen domain availability scaphocephaly. Your search results Your Search History - clear scaphocephaly
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31. Sagittal Synostsis
This particular deformity is called scaphocephaly due to the skull s boat In sagittal synostosis or scaphocephaly we most frequently perform total skull
http://www.erlanger.org/craniofacial/book/craniosynostosis/cranio_2.htm

32. Craniofacial Diseases
The deformity is noticed at birth and medical advice is usually sought soon after. scaphocephaly fused sagittal suture. scaphocephaly
http://www.health.adelaide.edu.au/paed-neuro/craniofacial.html
CRANIOFACIAL DISEASES
Craniofacial diseases and abnormalities are those conditions which involve the skull and upper face. The speciality is multi disciplinary where several specialists from different disciplines manage these conditions.
CLASSIFICATION
Craniofacial diseases are classified into the following categories depending whether the major abnormality involves premature fusion of the craniofacial sutures or due to deficiencies and defects in the craniofacial bony structure.
CRANIOSYNOSTOSES
In this condition there is premature fusion of the cranial sutures resulting in disproportionate growth of the cranial bones and as a sequence the growth of the facial bones. When a suture is fused there is no growth in a plain perpendicular to the line of the suture.
Skull has two different components, membranous part which comprises the vault, and chondrocranium which comprises the base of the skull. After a certain age no regrowth occurs in skull defects in the membranous skull contrary to the chondrocranium.
It is particularly important to indicate that brain growth induces the osteogenesis of the skull and this occurs in a homogeneous and symmetrical manner. The skull grows rapidly from birth to 7th year but the greater part of the increase of its cranial part occurs is during the first year owing to the rapidity of the growth in that period of the brain The brain reaches its maximum growth at about the age of two years.

33. Craniofacial Anomalies - Craniosynostosis
scaphocephaly is an early closure of fusion of the sagittal suture. This suture runs front to back, Illustration of a newborn s skull with scaphocephaly
http://www.schneiderchildrenshospital.org/peds_html_fixed/peds/craniofacial/cran
Craniofacial Anomalies
Craniosynostosis
What is craniosynostosis?
The normal skull consists of several plates of bone that are separated by sutures. The sutures (fibrous joints) are found between the bony plates in the head. As the infant grows and develops, the sutures close, forming a solid piece of bone, called the skull. Craniosynostosis is a condition in which the sutures close too early, causing problems with normal brain and skull growth. Premature closure of the sutures may also cause the pressure inside of the head to increase and the skull or facial bones to change from a normal, symmetrical appearance.
What causes craniosynostosis?
Craniosynostosis occurs in one out of 2,000 live births and affects males twice as often as females. Craniosynostosis is most often sporadic (occurs by chance). In some families, craniosynostosis is inherited in one of two ways:
  • autosomal recessive
    Autosomal recessive means that two copies of the gene are necessary to express the condition, one inherited from each parent, who are carriers. Carrier parents have a one in four, or 25 percent, chance with each pregnancy, to have a child with craniosynostosis. Males and females are equally affected.
    autosomal dominant
    Autosomal dominant means that one gene is necessary to express the condition, and the gene is passed from parent to child with a 50/50 risk for each pregnancy. Males and females are equally affected.

34. Foundation For Faces Of Children: Craniosynostosis
scaphocephaly ( sagital synostosis ). This results from a premature fusion scaphocephaly. An infant with this condition should be treated in the first
http://www.facesofchildren.org/conditions/craniosynostosis.html
Craniosynostosis Home Craniofacial Conditions What is craniosynotosis? How does craniosynostosis occur? ... What problems can result from craniosynostosis? Single Cuture Craniosynostosis What are the different types of single-suture craniosynostosis? How are these different varieties treated? Mutiple Suture Craniosynostosis What are the different types of multiple-suture craniosynostosis? How are children with multiple-suture craniosynostosis treated? RECOMMENDED READING Apert Syndrome Babyface: A Story of Heart and Bones
Jeanne McDermott
Woodbine House, 2000
[ amazon ]
Crouzon Syndrome Crouzon Support Network
http://www.crouzon.org
Craniosynostosis "Information for Parents"
Booklet by John B. Mulliken, M.D., on Single-Suture Craniosynostosis.

35. Positional Plagiocephaly (Abnormal Head Shape, Flat Head Syndrome) - Medical Inf
Plagiocephaly Severity Assessment scaphocephaly Severity Assessment Brachycephaly Severity Assessment Medical Info Treatment Clinic Locations
http://www.cranialtech.com/medicalinfo/identifyplagio.html

Causes
How to Identify Prevention
How To Identify To evaluate your infant's head shape, view the head from various angles: from the top, the sides, the back and face-on. Gently placing your fingers in the child's ears will help you "feel" the ear shift. To see facial asymmetry, hold a child up to a mirror. A clinical specialist can explain head shape complexities.
Plagiocephaly
Scaphocephaly
Brachycephaly Severity Assessment Assessing the severity of plagiocephaly can be very subjective. Severity is dependant upon many factors including flattening of the back of the head, prominence of the forehead, ear shift, facial asymmetry and torticollis. In an attempt to standardize the classification of plagiocephaly, Cranial Technologies has developed the assessment tools provided below. These tools are currently used across the country to document the improvement achieved with repositioning. A child's severity may be documented at a visit to the pediatrician and then re-evaluated using the same form after 4 - 6 weeks of repositioning. A multi-center study is currently under way to determine the validity and reliability of these forms. Results of this study will be shared when they become available.

36. Positional Plagiocephaly (Abnormal Head Shape, Flat Head Syndrome) - Medical Inf
scaphocephaly. scaphocephaly (Dolichocephaly) describes a head with a long, narrow shape, and is particularly common in premature babies.
http://www.cranialtech.com/MedicalInfo/plagiocephaly.html

Causes
How to Identify Prevention
Headshapes
Plagiocephaly
You may have been a little startled to notice your baby's head developing an unusual shape. The condition is not uncommon, it's called plagiocephaly (pla'je-o-sef'ah-le), and often results from external forces applied to the soft infant skull. It might sound complicated, but plagiocephaly literally means "oblique head" (from Greek: plagio = oblique, and cephale = head) It's called a parallelogram deformity because, if you look down on the infant's head (bird's-eye-view), this is the shape you will see. From this angle it looks as if half of the head has been pushed forward, often accompanied by misalignment of the ears, facial asymmetry and bulging forehead.
Brachycephaly
Something as simple as sleeping on the back can cause brachycephaly . The head flattens uniformly, causing a wider and shorter shape. Increased head height is also common in children with brachycephaly.
Scaphocephaly
Scaphocephaly (Dolichocephaly) describes a head with a long, narrow shape, and is particularly common in premature babies.

37. Outcome Analysis Of Spring Mediated Cranial Reconstruction For The Treatment Of
scaphocephaly, the premature fusion of the sagittal suture, is the most common type of craniosynostosis presenting to craniofacial centers across the world.
http://asps.confex.com/asps/2005am/techprogram/paper_8504.htm
Sunday, 25 September 2005 - 3:05 PM
This presentation is part of: Craniomaxillofacial Papers
Outcome Analysis of Spring Mediated Cranial Reconstruction for the Treatment of Scaphocephaly
Louis C. Argenta, MD, Lisa R. David, MD, Stephen S. Glazier, MD, and Claire Sanger, DO Scaphocephaly, the premature fusion of the sagittal suture, is the most common type of craniosynostosis presenting to craniofacial centers across the world. Treatment modalities used for the correction of this deformity run the spectrum of minimally invasive, i.e. Strip craniectomies, to total calvarial vault remodeling. The more aggressive treatment modalities became the gold standard because the long term outcome of the minimally invasive procedures had been suboptimal. We report a 4 year follow up and outcome analysis of spring mediated reconstruction used for the treatment of Scaphocephaly at Wake Forest University since 2001. The IRB approved prospective study population consisted of children between 3 and 9 months of age with both a clinical and radiographic diagnosis of scaphocephaly. All study patients had 2 memory metal stainless steel springs placed at the time of sagittal strip craniectomy. The children were followed clinically and radiographically from the preoperative diagnosis period through the spring removal period which was done at the time of reossification of the bony calvarial gap. On going patients follow up was done clinically as well as with three dimensional computerized cranial scanning.

38. British Library Direct: Order Details
Order from the British Library Craniosynostosis involving the sagittal suture (scaphocephaly) Acta Pediatrica Espanola.
http://direct.bl.uk/research/50/07/RN091555244.html
This is an article from British Library Direct, a new service that allows you to search across 20,000 journals for free and order full text using your credit card. Article details Article title Craniosynostosis involving the sagittal suture (scaphocephaly) Author Campdera, J. A. G. Sales, J. R. Gonzalez, M. I. Villa, I. Journal title ACTA PEDIATRICA ESPANOLA Bibliographic details 2001, VOL 59; PART 1, pages 38-41 Publisher ACTA PEDIATRICA ESPANOLA Country of publication Spain ISBN ISSN Language Original Pricing To buy the full text of this article you pay:
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39. Abnormal Head Shape
scaphocephaly, Diagram showing scaphocephaly, a long, narrow head shape, often due to premature closure of the sagittal suture.
http://www.pedisurg.com/PtEduc/Abnormal_Head_Shape.htm
TEXAS PEDIATRIC SURGICAL ASSOCIATES ABNORMAL HEAD SHAPE What is meant by abnormal head shape? An abnormally shaped head is usually recognized at birth. There are three causes of abnormal head shape in infants.
  • The largest group of infants with an abnormal head shape is those who have positional deformities which develop during pregnancy or while sleeping. The next most common group is those infants who present with early closure of the cranial sutures ( craniosynostosis The smallest group are infants with craniofacial syndromes, such as Apert's, Crouzon's, and Pfeiffer's.
How is abnormal head shape diagnosed and treated? Treatment of a child with an abnormal head shape requires a team approach. The goal of the team at Hermann Children's Hospital and The University of Texas Medical School at Houston is to provide the most current diagnostic and treatment methods for your child in a supportive environment The team includes a neuroradiologist, craniofacial surgeon, pediatric neurosurgeon, pediatric anesthesiologist, orthotist, and orthodontist. Diagnosis begins with a patient history, which takes into consideration the mothers pregnancy and the presence of an abnormal fetal position. There are also questions about prematurity, birth trauma, and multiple births. The patient history also includes inquiries about the infant's sleeping position and the presence of neck tightness and/or torticollis, which is an abnormal, somewhat fixed twisting of the neck associated with muscIe contractions.

40. Craniosynostosis
scaphocephaly from sagittal synostosis. Diagram of scaphocephaly, in which the sagittal suture had fused prematurely and needed repair.
http://www.pedisurg.com/PtEduc/Craniosynostosis.htm
TEXAS PEDIATRIC SURGICAL ASSOCIATES CRANIOSYNOSTOSIS What is craniofacial surgery? Craniofacial surgery is a surgical subspecialty developed by Paul Tessier thirty years ago in France. It involves surgery of the skull and face for tumors, trauma, and congenital deformities. For many years, the severity of these conditions was thought too risky for surgical intervention. Tessier, a surgeon himself, challenged this belief and began building the foundation of craniofacial surgery. In doing so, he recognized that this complex form of surgery could only be performed by a specially trained surgeon who was supported by a highly skilled team. The surgical team at Hermann Children's Hospital includes a pediatric neurosurgeon and craniofacial surgeon as well as a specialized anesthesiologist. The neurosurgeon works on the skull and the craniofacial surgeon on the face. With both areas being closely related the combined approach offers the best possible results with the highest level of safety. What is craniosynostosis?

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