title: Posterior remodeling flap for posterior plagiocephaly.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  OBJECTIVE
  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.
authors.affiliation: Craniofacial Unit, Department of Pediatric Neurosurgery, Necker Enfants Malades Hospital, 156 rue de Vaugirard, 75015, Paris, France. federico.dirocco@nck.aphp.fr
authors.forename: Federico
authors.initials: F
authors.lastname: Di Rocco
authors.forename: Alexandre
authors.initials: A
authors.lastname: Marchac
authors.forename: Caroline
authors.initials: C
authors.lastname: Duracher
authors.forename: Anne Catherine
authors.initials: AC
authors.lastname: Perié
authors.forename: Estelle
authors.initials: E
authors.lastname: Vergnaud
authors.forename: Dominique
authors.initials: D
authors.lastname: Renier
authors.forename: Eric
authors.initials: E
authors.lastname: Arnaud
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D026741:Physical Therapy Modalities; D049068:Plagiocephaly, Nonsynostotic / Q000534:rehabilitation / Q000601:surgery*; D012886:Skull / Q000601:surgery*; D013524:Surgical Flaps