Acta Neurochirurgica

, Volume 120, Issue 3–4, pp 126–131 | Cite as

T-Bone Plastique for treatment of brachy-turricephaly

  • E. Donauer
  • M. Bernardy
  • D. Neuenfeldt
Clinical Articles


The “T-Bone Plastique”, which is presented in this paper, allows a surgical correction even of extreme cases of brachy-turricephaly together with malformations of the occipital region in one operative session.

Brachy-turricephaly is characterized by abnormal vertical height of the skull and a shortening of its anterior-posterior length, frequently combined with malformations of the occipital region.

Resection of the prematurely closed coronal suture, bi-parietal trepanations with 90° rotation and side-exchange of the parietal bone flaps, double transverse trepanation of the occipital bone and outward bending and shifting of the bone fragments anable a bony remodeling and normalisation of the deformed skull.

Using this operative technique in three children we achieved a significant improvement of the skull form with an aesthetically pleasing result, without any neurologic sequelae and with normal development of the children during follow-up.


Craniosynostosis brachy-turricephaly T-bone plastique 


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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • E. Donauer
    • 1
  • M. Bernardy
    • 1
  • D. Neuenfeldt
    • 1
  1. 1.Department of NeurosurgerySaarland University Medical SchoolHomburg/SaarFederal Republic of Germany

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