Cranial Vault Remodeling for Sagittal Craniosynostosis

Abstract

Craniosynostosis is defined as the premature fusion of one or more cranial sutures, which can present as an isolated defect or as a part of a syndrome with other anomalies (American Family Physician 69:2863–2870, 2004). Sagittal suture is the most common suture involved in craniosynostosis (American Family Physician 69:2863–2870, 2004). Preoperative planning and patient education is essential for an ideal esthetic result and patient satisfaction. A variety of surgical techniques have been described, depending on the age of the patient and the severity of the deformity. These range from strip and Pi craniectomies, to extensive vault remodeling. Recently, endoscopically assisted procedures and distraction osteogenesis followed by helmet therapy have gained advocates.