Unilateral coronal synostosis (anterior plagiocephaly): Current clinical perspectives

Unilateral coronal synostosis is a frequently seen form of craniosynostosis that results in an anterior plagiocephalic shape to the ipsilateral forehead and orbit. Compensatory bulging of the contralateral side always occurs and most surgeons agree that a bilateral reconstruction is required. Details of the timing and techniques to achieve a symmetrical, proportional upper face will vary according to the craniofacial center's philosophy, but a team approach, with the pediatric craniofacial surgeon and the pediatric neurosurgeon working together, is an essential ingredient to achieving an unobtrusive face in a child born with unilateral coronal synostosis. More accurate methods of documenting the presenting deformity and the initial and late reconstructive results are needed.