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Turribrachycephaly: a technical note

S R Cohen1, T M de Chalain, F D Burstein

  • 1Division of Plastic and Reconstructive Surgery, Scottish Rite Children's Medical Center, Atlanta, GA 30342, USA.

Annals of Plastic Surgery
|December 1, 1995
PubMed
Summary
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A new surgical technique corrects towering skull deformity (turribrachycephaly) in infants by reshaping cranial bone. This faster, simpler method leverages bone plasticity for improved cranial shape in early life.

Area of Science:

  • Neurosurgery
  • Pediatric Plastic Surgery
  • Craniofacial Surgery

Background:

  • Towering skull deformity, or turribrachycephaly, presents a significant aesthetic and potential functional challenge.
  • Early intervention is crucial due to the natural elasticity and plasticity of infant cranial bones.

Purpose of the Study:

  • To describe a novel surgical technique for the early correction of turribrachycephaly.
  • To evaluate the feasibility, simplicity, and short-term outcomes of this technique.

Main Methods:

  • A coronal incision is used to expose cranial bone.
  • A superior bone flap is elevated and depressed, compressing the brain and reshaping the skull vault.
  • A fronto-orbital advancement is performed to fill the anterior cranial fossa.

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Main Results:

  • The technique was successfully applied to 5 pediatric patients.
  • Short-term results demonstrate good cranial shape correction.
  • The procedure was found to be faster and simpler than existing methods.

Conclusions:

  • This technique offers an effective approach for early turribrachycephaly correction in infants.
  • Optimal results are achieved in children under one year of age due to bone plasticity.
  • The procedure's simplicity and speed make it a valuable addition to craniofacial surgery options.