Abstract

Background Craniosynostosis is the premature fusion of one or more of the calvarial sutures, resulting in an abnormal head shape and increased intracranial pressure. Its incidence is estimated to be 1 in 2,000- births. Most of the cases are sporadic, with only 8% being syndromic or familial.

Purpose To evaluate the use of cyanoacrylate in combination with sutures for fixation and maintenance of bone remodeling in patients who underwent surgery for anterior plagiocephaly.

Materials and Methods This retrospective study was conducted in two Departments; Neurosurgery Department, and Maxillofacial & Plastic Surgery Department, Alexandria University, Egypt, including 19 patients who underwent surgery for correction of plagiocephaly between January 2015 and January 2020.

Results The mean age at surgery was 6.47 months and the mean follow-up period was 24 months. None of our patients had major complications. One patient had infection postoperatively that resolved in two weeks. According to the Whitaker grading, 13 patients had excellent results and classified as “Whitaker grade I", 4 patients had slight supraorbital elevation and two had an ipsilateral temporal constriction “Whitaker grade IIA", but no further intervention was done. None of our patients required reoperation for correction of a surgical relapse.

Conclusion Fronto-orbital advancement with slight overcorrection, together with the use of N-Butyl Cyanoacrylate for maintenance of bone shape after remodeling and bone fixation are safe and provide satisfactory and stable aesthetic results.

Keywords: Cyanoacrylate, coronal suture synostosis, plagiocephaly, and fronto-orbital advancement