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Fourteen cases of premature coronal synostosis are reviewed. Thirteen of these showed extension into the base of the skull involving the Irontosphenoidal suture. Recognition of this fact is of importance if surgical correction is attempted. Pertinent radiographic findings include narrowing or absence of the coronal suture, shortened frontal bone and anterior fossa, outward and upward sweep of the sphenoid wing and orbital roof, and shallowness of the orbit on the involved side. Because of the basal involvement, simple craniectomy may not be sufficient for correction in infants over two months of age and additional cuts may be necessary.
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Seeger et al. (1971) studied this question.
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