Application of the distraction technique to scaphocephaly

The case of a 1-year-old boy who underwent correction of a scaphocephalic deformity using distraction devices is described. Double pi-shaped osteotomies were cut. Bilateral temporal bone flaps were gradually expanded, and the frontal bone was pulled back simultaneously. The patient showed a good skull contour 2 years postoperatively. Although previous distractions were aimed only at expansion of the cranium, we used the distraction technique to successfully shorten the cranial vault in the anteroposterior direction. This case demonstrates that the osteotomized bone flaps can be moved in various directions. This feature of the distraction technique may contribute greatly toward meticulous reconstruction of the cranial vault.