HAPPY SUMMER!  It’s time again for our semi-annual newsletter.  I will take every opportunity available to thank my referring physicians for the trust they have put in me to care for their wards. 

Craniosynostosis remains a common concern.  I am now performing most craniofacial repairs utilizing recent technological advancement in surgical endoscopy, particularly if diagnosed before 6 months of age(it is easier to cut the skull with endoscopic instruments when the skull is not as thick).  I have been very pleased with the results thus far.  Although cosmetic concerns are addressed with craniofacial reconstruction, the primary reason to proceed with repair is the 10-15% incidence of elevated intracranial pressure present in patients with single suture synostosis.*

*Childs Nerv Syst. 2005 Oct;21(10):913-21. Epub 2005 May 3.
Intracranial pressure monitoring in children with single suture and complex craniosynostosis: a review.
Tamburrini G, Caldarelli M, Massimi L, Santini P, Di Rocco C.
 Childs Nerv Syst. 1995 May;11(5):269-75.
Subdural intracranial pressure monitoring in craniosynostosis: its role in surgical management.
Thompson DN, Harkness W, Jones B, Gonsalez S, Andar U, Hayward R.

Endoscopic repair allows elimination of the risk of elevated intracranial pressure, with hospitalization reduced to 2-3 days and transfusion risk cut to <25%(as opposed to >75% with open repair).  2 small(2-3cm) scars are left at the proximal and distal ends of the synostotic suture.

I have enclosed some of my cards, to ease the referral process.  If more cards are needed, please call the office.  We’ll be happy to send more.  Alternatively, anyone may access my web site and e-mail me.  All e-mails will be answered within 1 business day.