Cranosynostosis

Craniosynostosis is a congenital condition where one or more of the sutures (joints) in a baby’s skull close too early—before the brain is fully developed. This premature fusion results in abnormal skull shape and can cause increased intracranial pressure, delayed brain development, and in some cases, vision and cognitive issues. In the Bangladesh context, craniosynostosis often goes undiagnosed until visible deformities appear, due to lack of early neonatal screening and awareness among general physicians. Early surgical intervention significantly improves both appearance and neurological development, making timely referral essential. 🩺 Types of Craniosynostosis The type depends on which skull suture closes early: Sagittal Synostosis (Scaphocephaly) – Most common; results in long, narrow head Coronal Synostosis (Anterior Plagiocephaly) – Can affect one or both sides; leads to asymmetry Metopic Synostosis (Trigonocephaly) – Triangle-shaped forehead; can affect brain development Lambdoid Synostosis – Rare; results in flattening of the back of the head Multiple Suture Synostosis – Often associated with genetic syndromes Each type requires a specific surgical plan, and Dr. Md. Nafaur Rahman customizes treatment based on CT scans, 3D imaging, and developmental assessments. 📉 Symptoms and Clinical Features Craniosynostosis may present with: Abnormally shaped head or skull asymmetry Raised ridges over fused sutures No “soft spot” (fontanelle) or very small fontanelle Slow or no growth in head circumference Bulging eyes (increased ICP) Irritability, vomiting, developmental delays, or seizures (in severe cases) Early signs are often missed in Bangladesh due to lack of regular pediatric checkups. Education for parents and general practitioners is critical to improve early diagnosis. 🧪 Diagnosis Accurate diagnosis is based on: Clinical skull examination Head circumference charting 3D CT scan of the skull – to confirm suture fusion MRI (if needed) – to assess brain growth and structure Dr. Nafaur emphasizes the role of neonatal head shape monitoring as part of routine pediatric care in Bangladesh. 🔧 Surgical Treatment of Craniosynostosis Surgery is the only effective treatment to correct skull shape and allow the brain to grow properly. The ideal time for surgery is usually between 3 to 18 months of age. 🧠 Key Surgical Techniques: ✅ Open Cranial Vault Remodeling Traditional but effective Reshapes the skull using bone grafting Preferred for older children or complex cases ✅ Minimally Invasive Endoscopic Surgery Best for infants under 6 months Small incisions with quicker recovery May require postoperative helmet therapy ✅ Spring-assisted or Distraction Osteogenesis Techniques Useful for progressive reshaping over time Suitable for certain types like sagittal synostosis “When done early, craniosynostosis surgery can normalize both skull shape and brain growth — giving the child a fair chance at life.” — Dr. Md. Nafaur Rahman 🧒 Postoperative Care and Monitoring Dr. Nafaur and his multidisciplinary team ensure: Pain-free recovery in child-friendly ICU Antibiotics and wound care Follow-up imaging to track skull growth Developmental milestone monitoring Counseling on helmet therapy, if prescribed Long-term support is essential for children with associated genetic syndromes or delayed development. 🔎 Craniosynostosis in Bangladesh – A Growing Concern Bangladesh-specific Challenges: Low awareness among rural health workers and general pediatricians Limited access to advanced imaging in peripheral districts Delayed referrals due to cosmetic underestimation Cultural stigma related to skull deformity Cost barriers for advanced pediatric neurosurgery Dr. Md. Nafaur Rahman is working actively to bridge this gap through awareness, education, and affordable neurosurgical care. 👨‍⚕️ Why Choose Dr. Md. Nafaur Rahman? One of Bangladesh’s top experts in pediatric craniofacial neurosurgery 🏥 Operates at NINS, the national center for neurosurgical excellence 🔬 Uses 3D imaging and multidisciplinary craniofacial planning 🧾 Offers affordable and outcome-focused surgical packages 💬 Provides full parental counseling, including risks, outcomes, and recovery plan 📞 Contact for Craniosynostosis Surgery in Bangladesh Dr. Md. Nafaur Rahman Assistant Professor, Pediatric Neurosurgery, NINS Chief Consultant, Bangladesh Paediatric Neurocare Centre 📞 Appointment Hotline: 01912988182 | 01607033535 🌐 Website: www.neurosurgeonnafaur.com