Sagittal synostosis is the most common form of single suture synostosis. It results in a long, narrow head (scaphocephaly) with bossing of the forehead and (often) an occipital “bullet.”
The fused sagittal suture may be visible and palpable as a midline ridge. Sagittal synostosis occurs in approximately 1 in 5000 births with a male to female ratio of 3:1.
Surgery, if indicated, is usually carried out, following a thorough multidisciplinary assessment, between around 4 to 9 months of age.
The aims of the surgery are threefold;
- Correct the existing deformity
- Prevent the deformity from progressing and becoming worse
- To reduce the risk of raised intracranial pressure
Following the surgery, children are followed up until they reach skeletal maturity as outlined in our management protocol for single suture synostosis.