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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Only Way Out To Treat Soft Spot On Head In Babies?

Sir my 6 month old daughter may need surgery. We have been taking her to pediatrician. We asked about her soft spot being closed at 4 months. One docter mentioned her soft spot was small at about 2 months. When we visit for check ups doctors seem to claim it was ok for size or didn t seem to notice. Now it has closed completely and they now recommend seeing a orthopedic; that her sutures, soft spot is closed. From what we researched she may need Surgery. You can see a line in the front of her forehead. What is the level of cost involved for cranial Surgery by a neurosurgeon? How successful? Is she too young? Can she still have endoscopic craniosynostosis at this age. Thank you very much. We await your timely response. As we need to consult with a Doctor ASAP.
Thu, 10 May 2018
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Pediatrician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The time of closure of the anterior fontanel usually occurs between 4 and 26 months of age. The posterior fontanel which is the smaller of the two closes after the first month or two.

If her head growth(determined by the pediatrician measuring her head circumference and plotting it on a growth chart) is normal and she is doing the things she ought to do developmentally at six months of age, then closure of the fontanel is of no concern.
NO SURGERY!

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Arnold Zedd
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Is Surgery Only Way Out To Treat Soft Spot On Head In Babies?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The time of closure of the anterior fontanel usually occurs between 4 and 26 months of age. The posterior fontanel which is the smaller of the two closes after the first month or two. If her head growth(determined by the pediatrician measuring her head circumference and plotting it on a growth chart) is normal and she is doing the things she ought to do developmentally at six months of age, then closure of the fontanel is of no concern. NO SURGERY! Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd