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Table of Contents    
Year : 2019  |  Volume : 67  |  Issue : 2  |  Page : 628-629

Tenets of craniosynostosis. Surgical principles and advanced multidisciplinary care

Department of Neurosurgery, Army Hospital Research and Referral, New Delhi, India

Date of Web Publication13-May-2019

Correspondence Address:
Dr. Maneet Singh Gill
Department of Neurosurgery, Army Hospital Research and Referral, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.258000

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How to cite this article:
Singh Gill M. Tenets of craniosynostosis. Surgical principles and advanced multidisciplinary care. Neurol India 2019;67:628-9

How to cite this URL:
Singh Gill M. Tenets of craniosynostosis. Surgical principles and advanced multidisciplinary care. Neurol India [serial online] 2019 [cited 2020 Aug 6];67:628-9. Available from:

Author : Deepak Gupta, Ashok Kumar Mahapatra

Publishers : Thieme Medical and Scientific Publishers, Noida, Uttar Pradesh, India

Year : 2018

Price : Rs. 1995

Pages : 181

The book Tenets of Craniosynostosis – Surgical Principles and Advanced Multidisciplinary Care is a ready reference comprehensive book for neurosurgeons who deal with cases of craniosynostosis.

Craniosynostosis affects almost 1 in every 2500 live births and can occur as a part of identified syndromes or as an isolated disorder. It is said that nothing could be more disheartening for parents (who have waited months for a child to be born) to see their child deformed at birth or growing to have a deformed head. Therefore, when they come to us with a whole lot of queries and apprehensions, we have a moral and professional responsibility to be compassionate and to be technically sound in our advice. This book, covering deliberately all facets of this disease, has the capability of being a “singular source of technical unassailability” in the words of a neurosurgeon. Earlier, literature and publications on craniosynostosis have been scant and diverse, with a small chapter in most of the textbooks. This book has come as a solution in the understanding of and in dealing with all aspects of this disease meticulously and to create unparalleled results, cosmetically and functionally.

The book begins with an embryological basis for these anomalies in their various variants. It deliberates on the imaging protocols for these children and also the complete preoperative evaluation with multispeciality involvement. It includes recent advances in the field with inclusion of three-dimensional print technology for training on craniosynostosis surgeries and further continues to describe the perioperative anesthetic care. Special highlights of the book include the concept and surgical principles of each and every anomaly (viz, trigonocephaly, plagiocephaly, oxycephaly, sagittal craniosynstosis, and secondary craniosynostosis) with illustrative pictures of the preoperative surgical planning, intraoperative photographs, postoperative management, and the corresponding radiology. This exhaustive coverage of management with such illustrative pictures can instil adequate confidence even in a novice neurosurgeon to handle these cases with expertise and poise.

The book also discusses reconstructive corrections in these cases like the fronto-orbital advancement and posterior vault distraction for complex anomalies. The book provides answers to very fundamental questions like “Whether or not to operate? If a surgical correction is deemed necessary, when to operate, how to operate and how to optimize results by a good planning, by developing meticulous intraoperative skills, and by performing an intense postoperative management?” A chapter on the experience of All India Institute of Medical Sciences (AIIMS), New Delhi, in these cases over the past 15 years demonstrates the various presentations (apart from the cosmetic deformity), the distribution of various anomalies, the management protocols followed, the complications encountered, and the discussion of the conclusions derived. This acts like a roadmap for the centers and the surgeons planning to start corrective surgeries for these illnesses. The book further deliberates on the differences in the presentation and management principles of craniosynostosis cases which are isolated versus those in the syndromic children. This 19-chapter, 181-page-long book is full of colored images and illustrations for an easy understanding by every reader. In all the enclosed chapters, the authors provide numerous cross references, which when put together form the most comprehensive list of articles and publications on the subject of craniosynostosis.

I am glad that we now have one entire book to discuss this disease complex, which entails a close collaboration between multiple specialities, including neurosurgery, reconstructive surgery, oral maxillofacial surgery, and sometimes ophthalmology and otorhinolaryngology in due course. It is lucidly written with an aim to be read and understood by doctors in all these specialities and to help them come to a desired level while managing these complex anomalies. The chief editors of the book, Dr. Deepak Kumar Gupta and Dr, Ashok Kumar Mahapatra, have worked as senior neurosurgeons at the All India Institute of Medical Sciences, New Delhi, which is an apex institute of medical treatment and research in India, and the quality and quantity of neurosurgical cases (including craniosynostosis) at this establishment remain unmatched. The book has been the result of years of toiling with data, references, and images. I am sure this book will enhance the understanding and escalate the collaborative work to optimize the results of the surgeons and neurosurgeons who deal with these cases. An earlier book on this topic was Craniosynostosis: diagnosis, evaluation, and management by MM Cohen and Samual Pruzansky that was published as long back as in 1986.[1] The need for a book with coverage of all aspects with inclusion of newer developments in the field, therefore, has long been felt. This book will be of immense value to neurosurgeons and trauma surgeons in India and overseas.

To conclude, I would mention what we keep telling our patients (and their parents) belonging to this group, “Craniosynostosis may shape the skull, flesh, and bone and may shape appearances, but the hearts filled with love and courage are the ones which shape the character and the future. So even if you are not shaped the best, you are still a contestant for the best character!”

  References Top

Cohen MM, Pruzansky S. Craniosynostosis: diagnosis, evaluation, and management. In Cohen MM (Editor) Craniosynostosis: diagnosis, evaluation, and Raven Press, New York. 1986; p. 1-606.  Back to cited text no. 1


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