Treating Crouzon Syndrome

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Contact the Cleft and Craniofacial Center

Treatment of Crouzon Syndrome usually involves experts from many specialty areas. At Boston Children’s Hospital, our dedicated team of specialists will provide your child with the broad range of treatment and follow-up care that this rare and complex condition requires.

Depending on the severity of the disorder, your child may require surgeries to:

  • Re-shape the skull
  • Properly align the jaw
  • Correct eye problems

While the prospect of multiple operations over your child’s lifetime can seem overwhelming, it’s important to remember that these procedures are very successful.

Advanced Treatments for Crouzon Syndrome at Boston Children’s Hospital

Boston Children’s Hospital provides the most advanced treatments available for Crouzon syndrome and other craniofacial anomalies, including:

Minimally invasive skull repair: For many patients, our doctors can release bands of tissue that connect the bones of the skull (called sutures) through several small incisions—instead of traditional open surgery. Offered during the first few months of a child’s life, this procedure helps to correct the shape of the skull and provides room for the brain to grow. After this procedure, your child will be fitted with a special, temporary helmet to correct the shape of the skull.

Fronto-orbital advancement or calvarial vault remodeling: If minimally invasive (endoscopic) treatment is not an option for your child, surgery to correct the skulls can be provided when your child is between 9and 11 months of age. Our world-renowned plastic surgeons and neurosurgeons will work together to release the fused sutures and reshape the skull. They will use a zigzag incision technique, which helps camouflage the scar and makes the incision less visible.

Le Fort Advancements: These upper jaw surgeries correct abnormalities of the maxilla (upper jaw), including the way the teeth align. They involve sectioning (cutting) and repositioning the upper jaw to correct its abnormal position. Our advanced, 3D imaging technology enables our surgeons to create a precise surgical plan for your child.

Distraction osteogenesis: A procedure that moves two segments of a bone slowly apart so that new bone fills in the gap. During this procedure, a surgeon makes a break (called an osteotomy) in the abnormal bone and attaches a device known as a distractor to both sides of the osteotomy. This distractor is gradually adjusted over a period of days to stretch the gap and enable new tissue to fill it in. This procedure often follows a Le Fort advancement procedure.

Airway treatments: If your child is born with a blocked airway as a result of this condition, our otolaryngology, sleep medicine and/or pulmonary specialists will provide an expert diagnosis and an immediate plan for treatment. At Boston Children’s Hospital, airway obstructions can be treated in many ways. Our world-renowned surgeons offer the most advanced treatments available. These options include:

  • Wearing a continuous positive airway pressure (CPAP) mask
  • Tonsillectomy and or adenoidectomy
  • Midfacial advancement (also called a “Le Fort III”)
  • In severe cases, placement of a tracheostomy (a surgical procedure creating an opening through the neck into the windpipe) may be needed until your child is old enough to undergo other operations.

Dental treatments: The abnormal shape of the face can also affect the position of the teeth and the occlusion. Many children have an under bite, as well as misaligned teeth. Delayed tooth eruption is also common for children with Crouzon syndrome. Your child should visit a pediatric dentist when the teeth start to come in—no later than 2 to 3 years of age.

Make an Appointment

For an appointment with the Cleft and Craniofacial Center, more information or to obtain a second opinion for your child, please call us at 617-355-6309 or email our program coordinator, samantha.hall@childrens.harvard.edu.

International Patients

For families residing outside of the United States, please call Boston Children's International Health Services at +01-617-355-5209.

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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