Craniectomy - child - discharge; Synostectomy - discharge; Strip craniectomy - discharge; Endoscopy-assisted craniectomy - discharge; Sagittal craniectomy - discharge; Frontal-orbital advancement - discharge; FOA - discharge
Your baby was born with craniosynostosis, a condition that causes 1 or more of your baby's skull sutures to close too early. This can cause the shape of your baby's head to be different than normal. Sometimes it can slow normal brain development.
Swelling and bruising on your baby's head will get better after 7 days. But swelling around the eyes may come and go for up to 3 weeks.
Your baby's sleeping patterns may be different after getting home from the hospital. Your baby may be awake at night and sleep during the day. This should go away as your he or she gets used to being at home.
Your baby's surgeon may prescribe a special helmet to be worn, starting 3 weeks after the surgery. This helmet has to be worn to help further correct the shape of your baby's head.
Your child should not go to school or daycare for at least 2 to 3 weeks after the surgery.
You will be taught how to use a tape to measure your child's head size. You should do this on a weekly basis.
At home, your child will probably be able to return to normal activities and diet. Make sure your child does not bump or hurt his or her head in any way. If your child is crawling, you may want to keep coffee tables and furniture with sharp edges out of the way until your child recovers.
In bed, raise your child's head on a pillow. This will help prevent swelling around the face. Try to get your child to sleep on his or her back.
Swelling from the surgery should go away in about 3 weeks.
To help control your child's pain, use children's acetaminophen (Tylenol) as your child's doctor advises.
Keep your child's surgery wound clean and dry until the doctor says you can wash it. Do not use any lotions, gels, or cream to rinse your child's head until the skin has completely healed. Do not soak the wound in water until it heals.
When you clean the wound, make sure you:
Call your child's doctor if your child:
Also call if the surgery wound:
Baskin JZ, Tatum III, SA. Craniofacial surgery for congenital and acquired deforminities. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, PA: Mosby Elsevier; 2010:chap 185.
Pattisapu JV, Gegg CA, Olavarria G, et al. Craniosynostosis: diagnosis and surgical management. Atlas Oral Maxillofac Surg Clin North Am. 2010;18(2):77-91.
Updated by: Luc Jasmin, MD, PhD, FRCS (C), FACS, Department of Neurosurgery at Cedars-Sinai Medical Center, Los Angeles CA; Department of Surgery at Ashland Community Hospital, Ashland OR; Department of Surgery at Cheyenne Regional Medical Center, Cheyenne WY; Department of Anatomy at UCSF, San Francisco CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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