Turkish Neurosurgery 2005 , Vol 15 , Num 1
Calvarial Remodeling For The Treatment of Scaphocephaly in A 4-Moth- Old Boy: Case Report
Burak O. BORAN, Cem AKGÜN, Mustafa BOZBUGA
2nd Neurosurgery Clinic, Kartal Dr. Lütfi Kırdar Research and Teaching Hospital, İstanbul Scaphocephaly is the most common type of craniosynostosis. Simple sagittal suturectomy is still the operation of choice for infants under the age of 6 months. We describe a 4-month-old boy who underwent calvarial remodeling for the treatment of scaphocephaly. The patient was operated on in the prone position using a transverse incision halfway between the anterior fontanelle and the occipital prominence. Sagittal strip craniectomy was coupled with bilateral parietal wedge craniectomies and occipital craniotomy. Bone edges of the wedge craniectomies were drawn to each other and the occipital craniotomy flap repositioned following remodeling. The described technique provided an immediate restoration of the cranial shape and the cosmetic outcome, 6 months after the surgery, was pleasing. Although an extensive procedure, calvarial remodeling can be the procedure of choice for a better cosmetic outcome even before 6 months of age. Keywords : Scaphocephaly, craniosynostosis, remodeling
Corresponding author : Burak O. Boran, burakoboran@hotmail.com