Turkish Neurosurgery
2005 , Vol 15 , Num 1
Calvarial Remodeling For The Treatment of Scaphocephaly in A 4-Moth- Old Boy: Case Report
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