Lambdoid synostosis diagnosis
The clinical features are of a flattened back of head on the affected side, with the ear on the same side displaced backward. The opposite back of the head shows bossing or prominence as a compensation.
Diagnosis is made by a combination of clinical and radiological assessment, with subsequent referral for multidisciplinary management in a formal craniofacial team.
Lambdoid synostosis treatment
Surgical treatment of lambdoid synostosis is performed at 6-12 months of age, and involves a posterior cranial vault remodelling, in order to correct the existing deformity and to minimise the risk of worsening asymmetry both at the back and the front of the head.
Long term follow up until skeletal maturity is indicated to monitor head shape and assess development.