Childs Nerv Syst (2017) 33:1433 DOI 10.1007/s00381-017-3526-7 AUTHOR’SREPLY Takeyoshi Shimoji Received: 29 June 2017 /Accepted: 3 July 2017 /Published online: 18 July 2017 Springer-Verlag GmbH Germany 2017 Dear Editor, tion to perform surgery in scaphocephaly is sometimes NOT We always appreciate the comment of Dr. Ijichi, Mrs. Ijichi, only a cosmetic problem . and the core members of the Japanese Society for Child and Please do understand that changing the abnormal morpho- Adolescent Psychiatry. logical statuses of the skull and reducing the increased intracra- nial pressure are the main surgeons’ works without question. However, this letter commented mainly our ways of research for the mild trigonocephaly; we already answered these ques- tions and comments in the last reply . We could not do com- plete control test to sick children from the perspective of the References surgeon after seeing the abnormal morphological skull changes and high ICP in most of the patients. We hope that they can also 1. Shimoji T (2015) Reply to Dr. Ijichi’s group letter. Childs Nerv Syst 31:1013–1015 provide their scientific data which can show the missing piece of 2. Dobbs TD, Salahuddin O, Jayamohan J, Richards P, Magdum S, Wall our study especially the natural course of the patients with mild SA, Johnson D (2017) The management of tyrigonoscaphocephaly as trigonocephaly, because what we Bthink^ not Bblindly believe^ a result of combined metopic and sagittal synostosis. Plast Reconstr that the natural history of these metopic suture synostosis with Surg 139(6):1325–1332 clinical symptoms exist in their patients in a certain percentage. 3. Terner JS, Travieso R, Lee SS, Forte AJ, Patel A, Persing JA (2011) Combined metopic and sagittal craniosynostosis: is it worse than We are afraid to say, however, this article is describing sagittal synostosis alone? Neurosurg Focus 31:E2 about metopic-sagittal synostosis which is a rare plurisutral 4. Greene AK, Mulliken JB, Proctor MR, Meara JG, Rogers GF (2008) craniosynosotosis. The Oxford group has published similar Phenotypically unusual combined craniosynostoses: presentation cases . It is almost a consensus that multisuture synostosis and management. Plast Reconstr Surg 122:853–862 5. Lee HQ, Hutson JM, Wray AC et al (2012) Changing epidemiology is associated with an increased incident of raised intracranial of nonsyndromic craniosynostosis and revisiting the risk factors. J pressure and learning disabilities compared with single suture Craniofac Surg 23:1245–1251 synostosis [3–5]. Also, if we go further, even in single suture 6. Arnaud E, Renier D, Marchac D, Brunet L, Pierre-Kahn A (1996) synostosis, there are reports from one of the major craniofacial Mental prognosis in scaphocephaly. Arch Pediatr 3(1):16–21 [Article centers which conclude that Bwe can conclude that the indica- in French] * Takeyoshi Shimoji email@example.com Amekudai Hospital, Naha, Okinawa, Japan
Child's Nervous System – Springer Journals
Published: Jul 18, 2017
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