Children with craniofacial disorders may have complex problems related to facial appearance, feeding and swallowing, hearing and middle ear infections, speech and breathing, dental and oral-maxillofacial development, and psychosocial development. In babies, craniofacial issues usually appear as a flat or odd-shaped head.
At the Craniofacial Center at Atlantic Health System Children's Health, a team of specialists from a variety of disciplines collaborate to identify the multifaceted needs of the patient and provide appropriate treatment following guidelines established by the American Cleft Palate-Craniofacial Association (ACPCA).
We care for pediatric patients with moderate to severe craniofacial disorders, plagiocephaly or flat head syndrome, brachycephaly, scaphocephaly, torticollis, craniosynostosis, cleft lip and palate, craniofacial tumors, craniofacial hemangiomas and birthmarks, and Goldenhar syndrome, among others.
Craniofacial Diagnostic Services
- 3D computed tomography (CT) scans
- 3D laser screening with topographic craniofacial modeling
- Brainstem auditory-evoked response
- Electroencephalography (EEG)
- Electromyography studies
- Genetic testing and counseling
- Magnetic resonance imaging (MRI), including MR angiograms, MR spectroscopy, and cine phase-contrast MR and cerebral spinal fluid (CSF) flow studies
- Psychological testing
- Sleep studies
- Speech and swallowing studies
Craniofacial Medical Services
- Cranial remodeling with orthotic and helmet therapy
- Comprehensive team evaluation and long-term follow-up
- Endoscopic craniosynostosis repair
- Examinations under anesthesia for children with developmental disorders
- Multidisciplinary consultations allowing the patient and family to be evaluated by our medical team without traveling to multiple physician offices
- Physical, occupational, audiological, speech and feeding therapies
- Reconstructive craniofacial and maxillofacial surgery when indicated
- Social work support
- All diagnostic results and treatment recommendations are communicated to the patient's primary care physician.
Craniofacial Psychological Services
We understand that as children age, craniofacial disorders will have a varying impact on their lives, as well as those of their families.
For younger children, our psychologist will assess their developmental level, provide referrals for appropriate evaluations and assist in obtaining relevant services to ensure they are reaching key developmental milestones.
In older children, appearance often plays a role in their self esteem and social development. As such, our psychologist will check if any emotional, learning or adjustment disorders are present. Additional psychological treatment may be necessary to help patients develop effective coping skills, as well as to provide support for their families.
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Our Medical Team
Arno Fried, MD
Mary Kelly Gleason, MSW, C
Robin Godshalk, Genetic Counselor
Christine Hoffman-Payne, Au.D., FAAA, CCC-A
Michelle Sirak, MD
Susan Wood, BSN, RN-BC