Surgical Treatment for Scaphocephaly Using a Modified Melbourne Technique in Mexico: An Illustrative Case and...

Craniosynostosis is the premature fusion of one or more skull vault sutures, most commonly the sagittal sutures, leading to a long, narrow head shape known as scaphocephaly. Surgery is recommended to create space for brain growth to treat scaphocephaly. Delayed treatment may require more complex surgery to achieve the desired head shape. The Melbourne method of total calvarial vault reconstruction allows for significant head shape change without requiring postoperative helmet therapy. This single-stage technique involves complex skull reshaping to move the vertex successfully from front to back by reconstructing both the anterior and posterior parts of the cranium. We present the case of an eight-month-old boy diagnosed with nonsyndromic scaphocephaly, characterized by an elongated head with a prominent sagittal ridge due to secondary sagittal synostosis. Subtotal cranial vault reconstruction was performed with good postoperative results.