Year : 2022 | Volume
: 17 | Issue : 5 | Page : 1--2
Surgery for craniofacial disorders
Department of Neurosurgery, Seth GS Medical College and King Edward VII Memorial Hospital, Parel, Mumbai, Maharashtra, India
Dr. Dattatraya Muzumdar
Department of Neurosurgery, King Edward VII Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Acharya Donde Marg, Parel East, Parel, Mumbai 400012, Maharashtra
|How to cite this article:|
Muzumdar D. Surgery for craniofacial disorders.J Pediatr Neurosci 2022;17:1-2
|How to cite this URL:|
Muzumdar D. Surgery for craniofacial disorders. J Pediatr Neurosci [serial online] 2022 [cited 2022 Dec 4 ];17:1-2
Available from: https://www.pediatricneurosciences.com/text.asp?2022/17/5/1/356371
Craniosynostosis has a relatively rare occurrence but is seen in neurosurgery clinics, especially pediatric neurosurgery practice on a regular basis. The understanding and management of this condition requires familiarity with sutural anatomy and its variations and its impact on the brain, CSF and the vascular supply, especially venous anatomy of the skull and dural sinuses. Journal of Pediatric neurosciences feels privileged to bring together the entire spectrum of craniosynostosis with varied topics written by experts from all over the world and India in this field ranging from a pediatric neurology perspective, advanced imaging and surgical techniques with an effort to improve the comprehensive care of the craniosynostotic patient.
It is our humble effort to bring experts in this field from around the world to to share their knowledge and understanding. We are incredibly grateful to the esteemed authors in this attempt for enhancing and sharing education.
Surgery for craniosynostosis is a team approach comprising of a pediatric neurosurgeon, plastic surgeon, maxillofacial surgeon, opthalmologists, skilled neuroanaesthesiologists, skilled nurse practitioners and geneticists. The secondary dynamic changes involving the brain growth, CSF circulation and venous anatomy need to be looked into greater detail for optimization of surgical correction and outcome. Surgical planning requires detailed preoperative checks involving 3D imaging and reconstruction and tailored treatment protocol which involves posterior calvarial augmentation, frontoorbital advancement, endoscopic third ventriculostomy or ventriculoperitoneal shunt either alone or in combination.
The literature on craniosynsotosis is vast and not many neurosurgeons are well aware of it due to the highly specialised investigation and treatment protocols. Most neurosurgeons are more comfortable dealing with single suture synostosis. The recent advances comprise imaging and surgical techniques including gradient echo gradient echo backbone and zero time echo MRI sequences, application of 3D photography in craniofacial surgery with future application in diagnostics using machine learning, endoscopy and the comprehensive management of syndromic craniosynostosis including Chiari I malformation and hydrocephalus, opthalmological care in craniofacial disorders and hypertelorism and maxillofacial deformities. This is largely treated by specialised multidisciplinary craniofacial surgery units within the department of neurosurgery.
This comprehensive collection of articles submitted by all senior experts in this field is extensive and complete bringing together exemplary quality and content to benefit our readers. The special issue encompasses various facets of craniosynostosis. It covers the entire spectrum of craniosynostosis, syndromic and nonsyndromic in great detail. The discussions are inclusive thereby bringing different perspective for our readers in this publication.
I am grateful to our esteemed guest editors for the Journal of Pediatric Neurosciences special issue viz. Prof Ajay Sinha, Prof. Deepak Gupta and Prof. Suhas Udayakumaran for their untiring efforts to get invited manuscripts from experts in this field from world wide and India.The subtopics were chosen meticulously and the authors have showcased their profound experience in their relevant topics. This will definitely be a source of comprehensive information on craniosynostosis with updated recent advances in the field. It will serve to evolve deeper insights into the subject and stimulate further research and benefit all those afflicted by craniosynostosis. This special issue is devoted to the patients and their families, especially with syndromic affection whose endurance and hope are challenged all the time.
I hope that this supplement will become a reference material for residents and younger as well as for senior neurosurgeons in strengthening their knowledge of craniosynstosis. I would consider this supplement as a ready reference for further study and research in a complex and challenging topic like craniosynostosis.
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Conflicts of interest
There are no conflicts of interest.