Posterior remodeling flap for posterior plagiocephaly.

Research paper by Federico F Di Rocco, Alexandre A Marchac, Caroline C Duracher, Anne Catherine AC Perié, Estelle E Vergnaud, Dominique D Renier, Eric E Arnaud

Indexed on: 09 Aug '12Published on: 09 Aug '12Published in: Child's Nervous System


Nonsynostotic posterior plagiocephaly has become the most common skull deformation since pediatricians have suggested the supine position for the newborns to reduce the risk of sudden death. Prevention of such a "positional" deformation or its management once it has occurred is mainly based on physical maneuvers such as physiotherapy and active positional corrective measures.Surgical correction, however, may be suggested in rare cases where deformation of the skull is so severe or the referral of the child is so late that physical corrective treatment cannot be taken into consideration. Surgical management is based on the creation of a posterior bone flap to be repositioned after the opportune contouring and rotation.The aim of this paper is to describe the surgical technique used for posterior vault remodeling in posterior plagiocephaly at the craniofacial unit of Hopital Necker Enfants Malades (French National Referral Center for Faciocraniosynostosis) focusing on its advantages and limitations.