Plastic and Reconstructive Surgery

Craniofacial Deformities (Craniosynostosis)

The term craniofacial deformities can sound overwhelming and difficult to understand; however, these irregularities or differences that your child may have since birth are treatable. The team of combined specialists we gather to treat deformities and differences that your child may have are both well trained and informed in the most current treatment options.

Craniosynostosis is defined as the premature closure of the suture(s) of the skull.  As a result, subsequent growth of the skull is affected which results in an abnormal or deformed head shaped.  This can also result in an increased risk of increased pressure if the normally growing brain has limited space for expansion due to craniosynostosis.  Raised intracranial pressure can lead to headaches and problems with vision and developmental delays.  To correct this deformity and prevent the risk of raised intracranial pressure, cranial reconstruction is performed to reshape the skull and give the brain room to grow.  Reconstruction is optimal before the child has reached a year of age.

Traditionally, corrective surgery for craniosynostosis involved total cranial vault reconstruction.  This is usually performed between 6-12 months of age.  After making an incision of the scalp from ear to ear, the craniofacial surgeon and a neurosurgeon remove the fused portion of the skull and reconstruct the cranial vault and orbits, depending on the type of craniosynosynostosis, to allow more room for the brain and to give it a more normal appearance.  The surgery is usually four to five hours long and requires a blood transfusion, a stay in the ICU and five in the hospital.

There is a less-invasive surgical option for infants who are under six-months old and have single suture, non-syndromic craniosynostosis.  Instead of reconstructing the entire or majority of the cranial vault, an endoscopic-assisted strip craniectomy is performed and the child is placed in a post-operative helmet which is used  to guide skull growth and shape.  In this procedure, two small incisions are made to allow the removal of the fused suture with an endoscope.  On average, the surgery is only about ninety minutes long with significantly less blood loss, minimal swelling and scarring, 1-2 night hospital stay, resulting in a natural head shape. 

Contact Us:

801-581-7719

Jayant Agarwal, M.D.

Locations
Huntsman Cancer Hospital (801) 587-4241
University Hospital (801) 585-2318

Specialties: Breast Surgery, Flap Surgery, Head & Neck Reconstruction, Microsurgery, Pediatric Plastic Surgery, Plastic Surgery, Plastic Surgery, Facial, Plastic Surgery, Hand Upper Extremity & Microvascular Surgery, Trunk & Extremity Reconstruction, Wound Healing

Barbu Gociman, M.D., Ph.D.

Locations
PCH Outpatient Services at Riverton (801) 581-7073
Primary Children's Hospital (801) 581-7073
University Hospital (801) 581-7073

Specialties: Cleft Lip and Palate, Head & Neck Reconstruction, Pediatric Plastic Surgery, Plastic Surgery, Plastic Surgery, Cosmetic, Plastic Surgery, Facial

W. Bradford Rockwell, M.D.

Locations
Madsen Health Center (801) 585-3253
University Hospital (801) 585-3253

Specialties: Breast Surgery, Flap Surgery, Frostbite, Microsurgery, Pediatric Plastic Surgery, Plastic Surgery, Plastic Surgery, Cosmetic, Plastic Surgery, Facial, Plastic Surgery, Hand Upper Extremity & Microvascular Surgery, Plastic Surgery, Laser, Trunk & Extremity Reconstruction, Wound Healing

Faizi A. Siddiqi, M.D.

Locations
Primary Children's Hospital (801) 581-5132
University Hospital (801) 581-5132

Specialties: Cleft Lip and Palate, Flap Surgery, Head & Neck Reconstruction, Microsurgery, Pediatric Plastic Surgery, Plastic Surgery, Plastic Surgery, Facial, Plastic Surgery, Laser

P. Daniel Ward, M.D., M.S.

Locations
South Jordan Health Center (801) 585-3223
Surgical Specialty Center (801) 585-3223

Specialties: Cleft Lip and Palate, Facial Nerve Disorders, Facial Plastic & Reconstructive Surgery, Head & Neck Reconstruction, Hemifacial Spasm, Hereditary Hemorrhagic Telangiectasia, Laser and Cosmetic Dermatology, Melanoma Surgery, Otolaryngology, Head & Neck Surgery, Pediatric Plastic Surgery, Plastic Surgery, Cosmetic, Plastic Surgery, Facial, Plastic Surgery, Laser, Wound Healing