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Published on: December 5, 2025
Posterior remodeling flap for posterior plagiocephaly
Federico Di Rocco1, Alexandre Marchac, Caroline Duracher
1Craniofacial Unit, Department of Pediatric Neurosurgery, Necker Enfants Malades Hospital, 156 rue de Vaugirard, 75015, Paris, France. federico.dirocco@nck.aphp.fr
Summary
Posterior plagiocephaly is a common skull deformation in infants. This study details a surgical technique for posterior vault remodeling when conservative treatments fail, outlining its benefits and drawbacks.
Area of Science:
- Craniofacial Surgery
- Pediatric Neurosurgery
- Plastic Surgery
Background:
- Nonsynostotic posterior plagiocephaly is the most common infant skull deformity.
- The supine sleeping position, recommended to reduce sudden infant death, contributes to positional skull deformations.
- Conservative management includes physiotherapy and positional corrective measures.
Purpose of the Study:
- To describe the surgical technique for posterior vault remodeling in posterior plagiocephaly.
- To focus on the advantages and limitations of this surgical approach.
- To present the experience from a French National Referral Center for Faciocraniosynostosis.
Main Methods:
- Surgical correction is reserved for severe cases or late referrals unresponsive to conservative treatment.
- The technique involves creating a posterior bone flap.
- The bone flap is repositioned after contouring and rotation.
Main Results:
- (Study describes technique, results not detailed in abstract)
- (Study focuses on technique, outcomes not detailed in abstract)
- (Study focuses on technique, limitations not detailed in abstract)
Conclusions:
- Surgical posterior vault remodeling is an option for severe posterior plagiocephaly.
- The described technique offers a method for skull contour correction.
- Further evaluation of the technique's advantages and limitations is warranted.
