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The Misdiagnosis of Craniosynostosis as Deformational Plagiocephaly

Liu, Yuan MD; Kadlub, Natacha MD; da Silva Freitas, Renato MD, PhD; Persing, John A. MD; Duncan, Charles MD; Shin, Joseph H. MD

The Journal of Craniofacial Surgery: January 2008 - Volume 19 - Issue 1 - p 132-136
doi: 10.1097/SCS.0b013e3181655314
Original Articles
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Deformational plagiocephaly, unilateral coronal craniosynostosis, and lambdoid craniosynostosis all cause oblique deformities of the skull. They are separate entities with different etiologies resulting in clear differences of physical examination, radiologic findings, and clinical course. Treatment for each condition is markedly different. Surgical intervention is recommended for unilateral coronal and lambdoid craniosynostosis using different techniques. Deformational plagiocephaly, on the other hand, is often satisfactorily managed with conservative treatment. We present 4 clinical reports on patients in whom unilateral coronal craniosynostosis and lambdoid craniosynostosis were originally misdiagnosed as occipital deformational plagiocephaly and highlight individual structural distinctions.

From the Section of Plastic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.

Address correspondence and reprint requests to Joseph H. Shin, MD, Section of Plastic Surgery, Department of Surgery, Yale University School of Medicine, PO Box 208041, New Haven, CT 06520-8041; E-mail: joseph.shin@yale.edu

There was no financial interest by any of the authors, as well as no product, device, or drug was specifically tested in this study.

© 2008 Mutaz B. Habal, MD