Asterion region synostosis

D. F. Jimenez, C. M. Barone, R. V. Argamaso, James Tait Goodrich, R. J. Shprintzen

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Posterior plagiocephaly historically has been associated with synostosis of the lambdoid suture. The incidence, diagnosis, and modes of treatment for stenosis of the lambdoid suture remain controversial. Commonly, the lambdoid suture is found to be open both on radiographic examination and at the time of surgery. The study reports on nine patients who presented with unilateral posterior plagiocephaly and who were found to have open lambdoid sutures, but a stenosed region of the asterion. The area of involvement included the distal-most lambdoid suture, the parietomastoid, occipitomastoid, and proximal squamosal sutures. Positional molding or torticollis was ruled out in all patients. All the patients showed progressive involvement of the skull base, including anterior shifts of the ipsilateral ear, compensatory ipsilateral frontal bossing and malar protrusion. Stenosis of the asterion was diagnosed with three-dimensional computed tomography scans, corroborated at the time of surgery and confirmed histologically. Surgical correction involved resection of the affected asterion and reconstruction using a bandeau-technique, barrel staves of the occipital bone and bone graft transposition. This approach provided excellent esthetic results in all patients.

Original languageEnglish (US)
Pages (from-to)136-141
Number of pages6
JournalCleft Palate-Craniofacial Journal
Volume31
Issue number2
StatePublished - 1994
Externally publishedYes

Fingerprint

Synostosis
Sutures
Plagiocephaly
Pathologic Constriction
Occipital Bone
Torticollis
Craniosynostoses
Skull Base
Esthetics
Ear
Tomography
Transplants
Bone and Bones
Incidence

Keywords

  • asterion
  • cranial suture
  • craniosynostosis
  • plagiocephaly
  • three- dimensional CT

ASJC Scopus subject areas

  • Surgery
  • Dentistry(all)

Cite this

Jimenez, D. F., Barone, C. M., Argamaso, R. V., Goodrich, J. T., & Shprintzen, R. J. (1994). Asterion region synostosis. Cleft Palate-Craniofacial Journal, 31(2), 136-141.

Asterion region synostosis. / Jimenez, D. F.; Barone, C. M.; Argamaso, R. V.; Goodrich, James Tait; Shprintzen, R. J.

In: Cleft Palate-Craniofacial Journal, Vol. 31, No. 2, 1994, p. 136-141.

Research output: Contribution to journalArticle

Jimenez, DF, Barone, CM, Argamaso, RV, Goodrich, JT & Shprintzen, RJ 1994, 'Asterion region synostosis', Cleft Palate-Craniofacial Journal, vol. 31, no. 2, pp. 136-141.
Jimenez DF, Barone CM, Argamaso RV, Goodrich JT, Shprintzen RJ. Asterion region synostosis. Cleft Palate-Craniofacial Journal. 1994;31(2):136-141.
Jimenez, D. F. ; Barone, C. M. ; Argamaso, R. V. ; Goodrich, James Tait ; Shprintzen, R. J. / Asterion region synostosis. In: Cleft Palate-Craniofacial Journal. 1994 ; Vol. 31, No. 2. pp. 136-141.
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