Bicoronal synostosis diagnosis

As with unicoronal synostosis, an increasing number of these cases may be shown to be associated with an underlying genetic cause.

Diagnosis is made by a combination of clinical and radiological assessment, with subsequent referral for multidisciplinary management in a formal craniofacial team.

Bicoronal synostosis treatment

Surgical correction by a Fronto-orbital advancement (FOA) as a bilateral operation is performed at 4-12 months of age. This aims to correct the existing deformity, minimise progression of deformity and reduce the risk of raised intracranial pressure.

Most will be managed with a single infant surgery, but where a genetic cause is subsequently identified, there may be increased requirement for revision cranial and midfacial surgery.

Thus long term follow up until skeletal maturity is indicated to monitor forehead and facial form.

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