title: The surgical treatment of plagiocephaly.
abstract: OBJECTIVE
  Anterior plagiocephaly usually occurs with premature synostosis of the ipsilateral half of the coronal suture. The forehead is flattened on the affected side, with a backward and upward displacement of the affected orbit. The bulging of the calvaria may occur in the contralateral parietal area.
  
  
  METHODS
  This article presents the surgical techniques used over 7 years to treat plagiocephalic children. Eleven patients with unilateral coronal synostosis treated during 2003-2010 were analyzed retrospectively. The study included reviews of pre and postoperative computed tomography scans, operative techniques, clinical outcomes and complications. Unilateral orbital advancement with "tongue in groove" was performed in 5, and bilateral orbital advancement in 6 cases. Pre and postoperative anthropometric measurements were used to document the amount of advancement of the elevated and recessed orbita, and the amount of withdrawal of the contralateral side.
  
  
  RESULTS
  The mean age of the patients at time of surgery was 11 months. The preoperative values of the orbital height and retrusion were 0.68 cm and 1.87 cm, respectively. They were recorded as -0.1cm and 0,63 cm, postoperatively. Mean follow-up was 36 months, neither neurological sequelae nor other significant complications were encountered.
  
  
  CONCLUSIONS
  The surgical corrections have resulted in significant improvements in skull shape and high patient/parent satisfaction.
authors.affiliation: Acibadem University, Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey.
authors.forename: Gokalp
authors.initials: G
authors.lastname: Silav
authors.forename: Gulden
authors.initials: G
authors.lastname: Avci
authors.forename: Mithat
authors.initials: M
authors.lastname: Akan
authors.forename: Gaye
authors.initials: G
authors.lastname: Taylan
authors.forename: Ilhan
authors.initials: I
authors.lastname: Elmaci
authors.forename: Tayfun
authors.initials: T
authors.lastname: Akoz
mesh_terms: D000886:Anthropometry; D003393:Cranial Sutures / Q000002:abnormalities; D005145:Face / Q000002:abnormalities; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D009915:Orbit / Q000002:abnormalities / Q000601:surgery; D059041:Plagiocephaly / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012886:Skull / Q000002:abnormalities; D013518:Surgery, Plastic / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome