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Posterior calvarial augmentation in premature craniosynostosis: a technique avoiding foreign implants or free bone flaps

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Abstract

Background

A surgical technique of posterior calvarial augmentation without the use of plates or screws and avoiding the formation of free bone flaps is described.

Discussion

Three infants with strong occipital flattening successfully underwent the procedure in their first year of life. There were no intra- or postoperative complications; the amelioration of the head shape and the cosmetic results in all three cases were convincing also in the long term.

Conclusion

The proposed surgical technique is both feasible and effective; it is recommended for infants with marked flat deformation of the posterior calvaria in the first year of life.

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Acknowledgements

The authors are grateful to Stefan Kindel for his artwork in preparing the anatomical figures.

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Authors and Affiliations

  1. Section of Pediatric Neurosurgery, Department of Neurosurgery, Universitätsmedizin, Mainz, Germany

    Wolfgang Wagner, Eike Schwandt, Alexandra Huthmann, Sonja Vulcu & Christoph Tschan

Authors
  1. Wolfgang Wagner
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  2. Eike Schwandt
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  3. Alexandra Huthmann
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  4. Sonja Vulcu
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  5. Christoph Tschan
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Correspondence to Wolfgang Wagner.

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Wagner, W., Schwandt, E., Huthmann, A. et al. Posterior calvarial augmentation in premature craniosynostosis: a technique avoiding foreign implants or free bone flaps. Childs Nerv Syst 26, 1549–1553 (2010). https://doi.org/10.1007/s00381-010-1158-2

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  • DOI: https://doi.org/10.1007/s00381-010-1158-2

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