Unilateral Coronal Synostosis

Fusion of the coronal suture causes flattening of the ipsilateral frontal and parietal bones (Fig. 25.3a). Compensatory growth at the sagittal suture causes contralateral parietal bone overgrowth. Symmetric growth occurs at the contralateral coronal suture, causing unilateral frontal bossing. The ipsilateral squamosal suture causes overgrowth of the temporal bone. To restore normal contour to the frontal region, surgery must advance the ipsilateral orbital rim, expand the ipsilateral fronto-parietal region and contract the contralateral side.

In the supine position, a bi-frontal craniotomy, including the coronal sutures, is fashioned and remodeled using radial osteotomies and controlled fractures (Fig. 25.3b). The ipsilateral greater sphenoid wing, which is often thickened and displaced superiorly, is rongeured or drilled to the level of the superior orbital fissure (Fig. 25.3c). A unilateral orbital rim advancement is performed on the fused side using orbital osteotomies, as described for metopic synostosis (Fig. 25.3d). The temporalis muscle is moved anteriorly and affixed to the advanced lateral orbital rim (Fig. 25.3e). If the ipsilateral temporal region has overgrowth, a temporal craniotomy is performed and the bone is re-contoured using radial osteotomies.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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