Right Angled Z-osteotomy in Total Cranial Vault Remodeling in Sagittal Synostosis.

Oh, Deuk Young; Byeon, Jun Hee

Review

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2002;29(4):348-351.
Published online July 1, 2002.

Right Angled Z-osteotomy in Total Cranial Vault Remodeling in Sagittal Synostosis.

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. byeon@cmc.cuk.ac.kr

Abstract

Sagittal synostosis is the most common isolated craniosynostosis and usually recognized in early infancy. Numerous surgical techniques including strip craniectomy, the pi procedure, subtotal calvariectomy have been used, and they are usually successful if carried out in early infancy. Unfortunately, some children with sagittal synostosis are not considered for surgical correction by the age of 2 years. From March 2001 to February 2002, we have experienced two children older than 2 years of age with sagittal synostosis, and in all cases, performed total cranial vault remodeling with minimal bony defect. Reconstruction consisted of shortening of the sagittal midline strut, barrel stave osteotomy of temporal region, and right angled Z-osteotomy of parieto-occipital region. Using right angled Z-osteotomy, we can easily reshape and fix parieto-occipital bone flap with good stability and esthetic results. We report our technique for the late correction of scaphocephaly in two children with satisfactory results

Keywords: Sagittal synostosis; Total calvarial reconstruction; Right angled Z-osteotomy