Abstract
Introduction
The interrelationship of skull base growth and craniosynostosis is one that is not often taken into account in the clinical management of patients with craniofacial disorders by neurosurgeons and craniofacial surgeons. Very early on in our medical training we are taught the anatomical differences between the calvarial unit and skull base portion of the skull. The inherent differences in both underlying tissue components and the different growth characteristics of these two uniquely different structures are critical in understanding skull base growth in craniosynostosis and the inherent potential craniofacial growth in these unique children.
Review
This paper will review some of the basic anatomy of these zones of growth plus review some of the prevalent theories of the effect of skull base growth on craniosynostosis and the converse.
Conclusion
While the theories of these growth patterns have yet to be finalized an understanding of their potential influences and abnormal growth patterns remain key to providing a good surgical outcome in surgery for craniosynostosis.
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References
Angle CR, McLintire MS, Moore RC (1967) Cloverleaf skull: Kleeblattschädel-deformity syndrome. Am J Dis Child 114:198–202
Babler WJ, Persing JA (1982) Experimental alteration of cranial suture growth: effects on the neurocranium, basicranium and midface. In: Dixon AD, Sarnat BG (eds) Factors and mechanisms influencing bone growth. Liss, New York
Burdi AR (1976) Early development of the human basicranium: its morphogenic controls, growth patterns and relations. In: Bosma JF (ed) Symposium on development of the basicranium. NIH, Bethesda, pp 81–92
Cohen MM Jr (1976) The cloverleaf skull malformation. In: Bosma JF (ed) Symposium on development of the basicranium. NIH, Bethesda, pp 372–382
Eaton A, Sommer A, Sayers MP (1975) The Kleeblattschädel anomaly. Birth Defects 11:238–246
Enlow DH (1968) The human face: an account of the postnatal growth and development of the craniofacial skeleton. Harper and Row, New York
Enlow DH (1986) Normal craniofacial growth. In: Cohen MM Jr (ed) Craniosynostosis: diagnosis, evaluation, and management. Raven, New York, pp 131–156
Ford EHR (1956) The growth of the fetal skull. J Anat 90:63–72
Friede H (1981) Normal development and growth of the human neurocranium and cranial base. Scand J Plast Reconstr Surg 15:163–169
Giles WB, Phillips CL, Joondeph DR (1981) Growth in the basicranial synchondroses of the adolescent Mucaca mulatta. Anat Rec 199:259–266
Hopkins GB, Houston WJB, James GA (1968) The cranial base as an aetiological factor in malocclusion. Angle Orthod 38:250–255
Hoyte DAN (1966) Experimental investigations of skull morphology and growth. In: Felts WJL, Harriison RJ (eds) International review of general and experimental zoology, vol 2. Academic, New York, pp 345–407
Hoyte DAN (1969) The role of the cranial base in normal and abnormal skull development. In: Persing JA, Edgerton MT, Jane JA (eds) Scientific foundations and surgical treatment of craniosynostosis. Williams and Wilkins, Baltimore, pp 58–75
Hoyte DAN (1971) Mechanisms of growth in the cranial vault and base. J Dent Res 50:1447–1461
Hoyte DAN (1973) Basicranial elongation. I. The shape and plane of synchondroses. J Dent Res 52:246–251
Ingervall B, Thilander B (1972) The human spheno-occipital synchrondrosis. I. The time of closure appraised macroscopically. Acta Odontol Scand 30:349–356
Knott VB (1971) Changes in cranial base measures of human males and females from age 6 years to early adulthood. Growth 35:145–158
Kreiborg S (1986) Postnatal growth and development of the craniofacial complex in premature craniosynostosis. In: Cohen MM Jr (ed) Craniosynostosis diagnosis, evaluation, and management. Raven, New York, pp 157–189
Lewis AB, Roche AF (1972) Elongation of the cranial base in girls during pubescence. Angle Orthod 42:358–367
Lewis AB, Roche AF (1974) Cranial base elongation in boys during pubescence. Angle Orthod 44:83–93
Lewis AB, Roche AF, Wagner B (1985) Pubertal spurts in cranial base and mandible. Angle Orthod 55:17–30
Melsen B (1972) Time and mode of closure of the spheno-occipital synchondrosis determined on human autopsy material. Acta Anat 83:118–128
Melsen B (1974) The cranial base. The postnatal development of the cranial base studied histologically on human autopsy material. Acta Odontol Scand 32 [Suppl 62]
Michejda M (1970) Ontogenic changes of the cranial base in Macaca mulatta: histological study. Proceedings of the 3rd International Congress of Primatology, Zurich, vol 1. Karger, Basel, pp 215–225
Michejda M (1972) The role of basicranial synchondroses in flexure processes and ontogenetic development of the skull base. Am J Phys Anthropol 37:143–150
Montaut J, Stricker M (1977) Dysmorphies cranio-faciales. Les synostoses prématurées (craniosténsoses et faciosténoses). Neurochirurgie 23 [Suppl 2]
Moss ML (1958) Rotations of the cranial components in the growing rat and their experimental alteration. Acta Anat 32:65–86
Moss ML (1959) The pathogenesis of premature cranial synostosis in man. Acta Anat (Basel) 37:351–370
Moss ML (1960) Inhibition and stimulation of sutural fusion in the rat calvaria. Anat Rec 136:457–469
Moss ML (1962) Functional matrices. In: Kraus BS, Reidel RA (eds) Vistas in orthodontics. Lea and Febiger, Philadelphia
Moss ML (1971) Functional cranial analysis and the function matrix. Am Speech Hear Assoc Res 6:5–18
Moss ML (1972) Twenty years of functional cranial analysis. Am J Orthod 61:479–485
Moss ML (1976) Experimental alteration of basi-synchondrosal cartilage growth in rat and mouse. In: Bosma JF (ed) Symposium on development of the basicranium. NIH, Bethesda, pp 541–573
Moss ML, Salentijn L (1969) The primary role of functional matrices in facial growth. Am J Orthod 55:566–577
Taylor W, Hayward R, Lasjeurnias P, Britto J, Thompson D, Jones B, Evans R (2001) The enigma of raised intracranial pressure in complex craniosynostosis: the role of abnormal intracranial venous drainage. J Neurosurg 94:377–385
Thompson D, Harkness W, Jones B, Hayward R (1997) The aetiology of hindbrain herniation in craniosynostosis. An investigation incorporating MRI and ICP monitoring. Pediatr Neurosurg 26:288–295
Thompson D, Kendall B, Harkness W, Jones B, Hayward R (1997) The aetiology of hindbrain herniation in craniosynostosis. The effects of cranial vault surgery. Pediatr Neurosurg 26:296–303
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Goodrich, J.T. Skull base growth in craniosynostosis. Childs Nerv Syst 21, 871–879 (2005). https://doi.org/10.1007/s00381-004-1113-1
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DOI: https://doi.org/10.1007/s00381-004-1113-1