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Evidence-Based Medicine: Craniosynostosis

Fearon, Jeffrey A. M.D.

Plastic and Reconstructive Surgery: May 2014 - Volume 133 - Issue 5 - p 1261–1275
doi: 10.1097/PRS.0000000000000093
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Learning Objectives: After studying this article, the participant should be able to: 1. Make the appropriate diagnosis for each of the single-sutural synostoses, based on the physical examination. 2. Explain the functional concerns associated with these synostoses and why surgical correction is indicated. 3. Distinguish between the different types of surgical corrections available, the timing for these various interventions, and in what ways these treatments achieve overall management objectives. 4. Identify the basic goals involved in caring for the syndromic synostoses.

Summary: This article provides an overview of the diagnosis and management of infants with craniosynostosis. This review also incorporates some of the treatment philosophies followed at The Craniofacial Center in Dallas, but is not intended to be an exhaustive treatise on the subject. It is designed to serve as a reference point for further in-depth study by review of the reference articles presented. This information base is then used for self-assessment and benchmarking in parts of the Maintenance of Certification process of the American Board of Plastic Surgery.

Supplemental Digital Content is available in the text.

Dallas, Texas

From The Craniofacial Center.

Received for publication February 26, 2012; accepted July 30, 2012.

Disclosure: The author has no financial interest to declare in relation to the content of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s Web site (

Jeffrey A. Fearon, M.D., The Craniofacial Center, 7777 Forest Lane, Suite C-700, Dallas, Texas 75230,

©2014American Society of Plastic Surgeons