SOCIAL TRANSFORMATION OF AMERICAN MEDICINE

MEDICAL EDUCATION WAS RETARDED

MUTUAL HOSTILITYINTENSE COMPETETION

DIFFERNCE IN ECONOMIC INTERESTSECTARIAN ANTAGONISM

DaedalusIcarus

KING MINOS

CRANIOSTENOSIS

CRANIOSYNOSTOSIS

CRANIOFACIAL ANOMALIES

CROUZON APERT

• Definition• Incidence• Etiology• Classification• Clinical Diagnosis• Radiology• Parent Counseling• Procedure and its complications

SKULL OF NEONATE

HC 33-35cmAT 6MONTH 40.6-42.6cmAT ONE YEAR 45cm

DEFINITION

• Craniosynostosis is the premature closure of the skull sutures

• Also known as craniostenosis

• Is a part of the crouzon syndrome and the apert syndrome

AETIOLOGY

• CHROMOSOMAL• GENETIC• DYSMETABOLIC

Calcium,Mucopolysachrdosis,Mucolipidosis• HORMONAL Hyperthyroidism• TERATOGENIC• IATROGENIC• HAEMATOLOGIC

EFFECTS

PARTIAL FUSION

• Deformation

COMPLETE FUSION• Retardation of brain growth• ICP• Hydrocephalus• Fits• EYE-

proptosis,enophthalmos,opticatrophy,hypertelorism,hypotelorism,strabismus

DEFINITIONINCIDANCE 1-1900

GENETICSCLASSIFICATION

CLINICAL DIAGNOSISRADIOGRAPHY

CT SCANINDICATIONS TIMING

PARENTS CONSELLINGPROCEDURE AND COMPICATIONS