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Published on: October 31, 2012
Posterior calvarial augmentation in premature craniosynostosis: a technique avoiding foreign implants or free bone
Wolfgang Wagner1, Eike Schwandt, Alexandra Huthmann
1Section of Pediatric Neurosurgery, Department of Neurosurgery, Universitätsmedizin, Mainz, Germany. wagner@nc.klinik.uni-mainz.de
Summary
A novel posterior calvarial augmentation technique, avoiding plates and screws, effectively treats infant occipital flattening. This safe and feasible surgical method yields convincing, long-term cosmetic results for infants in their first year of life.
Area of Science:
- Neurosurgery
- Pediatric Plastic Surgery
Background:
- Describes a novel surgical technique for posterior calvarial augmentation.
- This method avoids the use of fixation hardware (plates/screws) and free bone flaps.
Purpose of the Study:
- To present and evaluate a new surgical technique for correcting posterior calvarial deformities in infants.
- To assess the feasibility, safety, and efficacy of this approach.
Main Methods:
- A specific surgical technique for posterior calvarial augmentation was performed.
- The procedure was applied to infants with significant occipital flattening.
Main Results:
- Successfully treated three infants with severe occipital flattening within their first year of life.
- No intraoperative or postoperative complications were observed.
- Achieved significant improvement in head shape with convincing long-term cosmetic outcomes.
Conclusions:
- The described surgical technique is both feasible and effective for treating posterior calvarial deformities.
- Recommended for infants presenting with marked flat deformation of the posterior calvaria during their first year.
- Offers a safe alternative for cosmetic improvement in pediatric craniosynostosis and positional plagiocephaly.
