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Craniosynostosis is the premature fusion of skull sutures that normally separate bone plates on the skull. This early suture fusion causes areas of growth restriction in areas of the skull that results in abnormal head shapes. Craniosynostosis may be either syndromal (associated with other congenital problems) or nonsyndromal. A geneticist can assist in determining whether the synostosis is syndromal or nonsyndromal. The early fusion of the suture results in characteristic patterns of head shapes depending on which suture is involved.

The treatment of craniosynostosis is surgical and involves combinations of removal of sections of the skull along with reshaping of the involved areas. These procedures are coordinated with a craniofacial surgeon and a pediatric neurosurgeon.

Some of the characteristic patterns include:

Sagittal Craniosynostosis -this is craniosynostosis resulting from the premature fusion of the sagittal suture, which is in the midline of the skull. This is the most common form of craniosynostosis. The resulting deformity is scaphocephaly or “boat shaped” skull. Premature fusion of the sagittal suture results in restriction of growth from side-to-side and increased growth from front-to-back. There may also be prominence of the frontal skull (frontal bossing) and posterior skull (occipital bossing) and ridging along the midline of the skull. The early treatment of sagittal craniosynostosis may involve excision of the involved suture along with some other skull reshaping. The treatment of late craniosynostosis involves a total cranial vault reshaping.

Metopic Craniosynostosis -this form of craniosynostosis results from the premature fusion of the metopic suture, which is in the midline of the forehead. The premature fusion of this suture results in trigonocephaly or “triangular shaped” skull. The patients have a ridge in the midline of their skull with narrowing between the temples. They may also have narrowing between their eyes (orbital hypotelorism). The treatment of this deformity involves an incision over the top of the skull from ear to ear. The procedure then involves removing the front of the skull and the top of the eye sockets and reshaping of the bone.

Unilateral Coronal Craniosynostosis -is the result of the fusion of the right or left side of the coronal suture. The forehead is flat on the involved side with prominence (bossing) on the opposite side. There is bulging in the temporal area on the involved side. The orbit is more vertically oriented on the involved side. The nasal root (bridge of the nose) deviates toward the involved side and the nasal tip deviates away from the opposite side. The correction of this deformity involves removing the frontal area of the skull and also the top of the eye sockets and reshaping the bone segments. They are then replaced into position.

Bilateral Coronal Craniosynostosis -is caused by the fusion of both the right side and left side of the coronal suture. This type of craniosynostosis is frequently the result of a craniofacial syndrome. The skull is very short in a front-to-back direction and is also very tall vertically (turribrachycephaly). The patients also have prominence in the temporal areas bilaterally. Correction of this deformity involves removal of the frontal skull and upper eye portion of the eye sockets with reshaping and replacement. In many cases, after the frontal area has been corrected, the patient will require a total cranial vault reshaping to decrease the vertical height of the head and lengthen the skull front-to-back.

Lambdoid Craniosynostosis -results from the premature fusion of the lambdoid sutures on the posterior aspect of the skull. The deformity results in a trapezoidal- shaped skull when viewed from above with flatness on the side of the involved suture. There is bulging (bossing) in the mastoid area on the involved side and the ear on the involved side is pulled posteriorly relative to the uninvolved side. There is prominence of the frontal skull opposite the involved suture. It is critical to carefully evaluate children with flatness in the back of the skull. Most of the children have deformational plagiocephaly that can be treated with either positioning or a molding helmet. Lambdoid synostosis, however, requires surgical therapy.

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  • - Written on February 1, 2018


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  • - Written on February 1, 2018


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  • - Written on February 1, 2018

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    Dr. Sundine is a gifted, highly trained plastic surgeon who achieves amazing, natural looking, aesthetic results in facial and body plastic surgery. My facelift is 4 years old. Even people who don’t know me comment I look wonderful. Others often ask me about Dr. Sundine… …and of course I recommend him 100%. In addition to being highly skilled and knowledgeable Dr. Sundine is caring, compassionate, communicative and professional. Finally, his office staff is friendly and efficient. I have never waited more than 5 minutes..

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  • - Written on February 1, 2018

    “Dr. Sundin did a terrific job”

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  • - Written on February 4, 2018

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    My keloid surgery was an absolute success. I am so pleased with the results and grateful to the staff pre & post surgery. I was so nervous and scared to precede w/ the procedure. For I never had a surgery or general anesthesia before.:(

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  • - Written on September 19, 2017


    Dr. Sundine and his staff were absolutley wonderful ! Very personable, caring and professional. His nurse Toni was so kind and answered all my questions and addressed all my concerns. The procedure went very well, with very little bruising or down time. Dr. Sundine is truly an exceptional plastic surgeon and I will definitely be using his services in the future. Thank you very much Dr Sundine and your magnificent team !

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  • - Written on September 19, 2017


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