title: Operative technique for calvarial reconstruction of sagittal craniosynostosis.
abstract: OBJECTIVE
  The purpose of this study was to retrospectively evaluate the efficacy of the developed by the authors surgical technique in patients with a radiographically confirmed diagnosis of sagittal craniosynostosis.
  
  
  METHODS
  34 children with scaphocephaly underwent surgical treatment with the authors' operative technique. Quantitative assessments of the operative results, based on the preoperative and postoperative (1 year after the procedure) measurements of the cephalic index (cranial width / cranial length x 100), were performed in all patients.
  
  
  RESULTS
  The presented original authors' surgical technique resulted in a significantly good skull shape immediately after the procedure. The mean preoperative cephalic index was 64.5, and the mean immediate postoperative index- 75.0, yielding a mean improvement of 10.5. There were no intraoperative complications. One case required a small postoperative correction.
  
  
  CONCLUSIONS
  The presented operative technique provides immediate and significant surgical correction of the head shape, demonstrated by quantitative measurements using the cephalic index and by photographs.
authors.affiliation: Medical University, Neurosurgery Department, Sofia, Bulgaria.
authors.forename: Kiril
authors.initials: K
authors.lastname: Georgiev
authors.forename: Yavor
authors.initials: Y
authors.lastname: Enchev
authors.forename: Assen
authors.initials: A
authors.lastname: Bussarsky
mesh_terms: D002508:Cephalometry; D003398:Craniosynostoses / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D012886:Skull / Q000601:surgery*; D014057:Tomography, X-Ray Computed