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

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.