Late Cranial Vault Reconstruction for Sagittal Craniosynostosis-A Case Report

Abstract

Sagittal craniosynostosis is a common congenital craniofacial anomaly in Caucasian. It rarely occurs in Oriental. The methods of surgical intervention vary specifically for each patient depending on the age and the severity of the deformity. In the most circumstances, the cranial vault reconstruction is carried before 1 year of age, so called early reconstruction. Strip craniectomy is often the treatment of choice for children under 6 month-old. Morcellation or cranial vault reshaping is carried for children over 6 month-old, when the disproportional dimensions of the cranial vault have already occurred. For older children (over 1 year of age), the cranial bone reshaping is usually difficult to be achieved because it has become thick and hard. In such situation, total or partial craniotomy with transposition cranial bone graft is performed in the late reconstruction. We report a rare case of sagittal craniosynostosis in our craniofacial center and propose a newly modified technique in transposition cranial bone graft used for the late reconstruction. It is used specifically for the patients with mild frontal prominence. It is simple and improves the aesthetic appearance well.