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Cranioplasty for midline metopic suture defects in adults with cleidocranial dysplasia.

AbstractOBJECTIVE:
Patients with cleidocranial dysplasia often express concerns related to their perception of an undesirable esthetic appearance of their forehead and skull because of a combination of the persistence of metopic suture defects and frontal bossing. This case series reviews the use of a cranioplasty technique that has been developed to address such concerns.
STUDY DESIGN:
A series of 7 adult patients with cleidocranial dysplasia were treated using a cranioplasty technique to correct visible metopic suture defects in the forehead region. The patients were 4 males and 3 females with a mean age of 29.0 years. All 7 patients underwent identical cranioplasty procedures.
RESULTS:
The metopic suture cranial defects were found to range in size from 0.6 to 2.4 cm in diameter and were present as full-thickness osseous defects in 4 of the 7 patients. All postoperative complications resolved spontaneously. Inpatient admission times ranged from 1 to 3 days. Follow-up ranged from 9 to 48 months with satisfactory subjective esthetic outcomes. The patients were content in all cases.
CONCLUSION:
This cranioplasty procedure successfully addresses the specific esthetic concerns of a rare and unique group of individuals. The procedure can be offered to cleidocranial dysplasia patients as part of their overall comprehensive craniomaxillofacial management.
AuthorsTaylor P McGuire, Petrus P Gomes, David K Lam, George K B Sándor
JournalOral surgery, oral medicine, oral pathology, oral radiology, and endodontics (Oral Surg Oral Med Oral Pathol Oral Radiol Endod) Vol. 103 Issue 2 Pg. 175-9 (Feb 2007) ISSN: 1528-395X [Electronic] United States
PMID17234531 (Publication Type: Journal Article)
Chemical References
  • Fibrin Tissue Adhesive
Topics
  • Adolescent
  • Adult
  • Bone Transplantation
  • Cleidocranial Dysplasia (surgery)
  • Cranial Sutures (surgery)
  • Craniotomy (methods)
  • Female
  • Fibrin Tissue Adhesive
  • Frontal Bone (abnormalities, surgery)
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Plastic Surgery Procedures (methods)

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