Controversies in the diagnosis and management of XXXX : a panel discussion.

@entity1 @entity1032 @entity428 @entity8213 @entity245 @entity4207 @entity91 @entity85
This introductory article summarizes and comments on a group of four papers based in part on a panel discussion of @entity91 ( @entity91 ) held at the 53rd annual meeting of the American Cleft Palate-Craniofacial Association. The purpose of this panel was to review the differential diagnosis of @entity91 and the evidence for @entity428 ( @entity428 ) and developmental problems in @entity91 @entity1 . First, a correct diagnosis must be made, with true @entity8213 being differentiated from positional deformities and other normal variants. Second, medical indications must be balanced against the risks of operating on @entity91 @entity1 . Release of fused sutures is commonly undertaken to avoid @entity428 , although studies of @entity428 in @entity1 and @entity1 with @entity91 are hampered by a lack of normative data and by difficulties with measurement techniques. A subgroup of @entity1 with @entity91 may have @entity428 , which can be deleterious to brain function. Longitudinal studies of @entity1 with isolated @entity91 suggest an increased risk of @entity1032 and @entity4207 ; surgical release of the suture may not diminish this risk. @entity1 with metopic suture fusion appear to be particularly at risk. These findings must be confirmed with a larger sample size. These uncertainties raise ethical issues and complicate medical decision-making for the @entity1 with @entity91 . A trusting and truthful relationship between the parents and the professional is necessary for a balanced discussion of the best interests of the @entity1 . All @entity1 with confirmed @entity8213 should be followed for evidence of progressive @entity85 , @entity428 , and @entity245 .
