Bicoronal suture fusion results in a
flat retruded forehead with increased height to the
skull. This condition is also called brachycephaly
due to the short anteroposterior diameter. As a result
of this shortening there is a compensatory bulging or
width of the skull. The brow is usually recessed and
elevated with the deformity being symmetric. This may
occur as an isolated occurrence or part of a more
complex syndrome with facial retrusion such as Apert’s
or Crouzon’s.
Surgical treatment consists of
extended bicoronal craniectomies with reconstruction of
the forehead.The supraorbital bar or brow is
reshaped and advanced forward with the forehead. The
reconstructed forehead and brow are rigidly fixed to
the nose and lateral orbits with microplates. If there
is excessive height to the skull then total calvarial
remodeling is also performed, decreasing the height of
the skull.
The incidence of bicoronal synostosis
or brachycephaly is between 10-20% in most series of
craniosynostosis.
Please note this information has
not been provided by a medical professional, and should
not be used in the place of a medical opinion
Surgery stories
Cameron Rondi
Cameron Mark Rondi was born on the 10th of March
at Olivedale Hospital. When he was born he was
diagnosed with Craniosynosis, it was picked up
at birth as he was born with facial distortion
...
