Craniosynostosis is a condition in which the fibrous joints between the skull bones, known as sutures, fuse prematurely, typically before or at birth. This early fusion can lead to an abnormal head shape and, in some cases, may restrict brain growth, resulting in increased pressure inside the skull.

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Craniosynostosis can affect a single suture (single suture craniosynostosis) or multiple sutures (complex or syndromic craniosynostosis). The most common types are:

• Sagittal synostosis (scaphocephaly) which causes a long narrow head shape
• Metopic synostosis (trigonocephaly) which results in a triangular forehead shape
• Coronal synostosis which results in a flattened forehead on one side (if it is unilateral) or a short flat head shape (if it is bilateral)

The diagnosis of craniosynostosis is made from clinical examination and a CT scan.

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Surgical treatment for craniosynostosis aims to correct skull shape abnormalities and create sufficient space for the brain to develop properly. Surgery is usually performed within the first two years of life and can involve different techniques, including spring-assisted cranioplasty and cranial vault remodelling procedures. The most appropriate surgical approach depends on the severity and type of craniosynostosis.

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The surgery is carried out by a specialized team consisting of a plastic surgeon and a neurosurgeon, who work together to ensure a functional and aesthetic outcome.

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At Terrace Plastic Surgery we offer surgery for craniosynostosis and co-ordinate care with neurosurgeons Dr Robert Campbell and Dr Amelia Jardim. Please note that, while surgery may be carried out in the private sector, we recommend that all children still be linked to the Queensland Children’s Hospital Craniofacial Multidisciplinary Team Clinic. Our team at Terrace Plastic Surgery will be able to arrange these referrals.

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