title: Craniosynostosis: Esthetic protocol in open technique.
abstract: BACKGROUND
  The past two decades have seen advances relative to the treatment of patients with craniosynostosis in the areas of resorbable fixation, imaging, and both intraoperative and perioperative management. The purpose of this study is to present open cranial vault reshaping techniques and anesthetic protocol used at Louisiana State University Health - Shreveport, USA.
  
  
  METHODS
  The surgical procedure of choice was single-stage open cranial vault reshaping with barrel-staving and orbital bandeau advancement as needed for supra-orbital rim deficiencies.
  
  
  RESULTS
  The outcomes of single-stage cranial vault reshaping with selective postoperative dynamic orthotics yielded symmetrical and consistent clinical results with only three children out of over 100 cases requiring later surgical correction.
  
  
  CONCLUSIONS
  Our review of techniques provides a safe protocol for management of craniosynostosis with symmetrical clinical head shape. The techniques presented here are aimed at improving the multidisciplinary management of these patients.
authors: Department of Oral and Maxillofacial Surgery, Louisiana State University School of Medicine, 1501 King Highway, Shreveport, LA 71130, USA.
authors: Ghali E
authors: GE
authors: Ghali
authors: George
authors: G
authors: Zakhary
keywords: Cranial vault; craniosynostosis; plagiocephaly; scaphocephaly
references: Childs Nerv Syst. 2008 Dec;24(12):1421-30
references: 18769932
references: J AAPOS. 2005 Jun;9(3):274-8
references: 15956949
references: Semin Pediatr Neurol. 2004 Dec;11(4):262-7
references: 15828710
references: Plast Reconstr Surg. 2004 Sep 15;114(4):850-6; discussion 857
references: 15468389
references: Atlas Oral Maxillofac Surg Clin North Am. 2002 Mar;10(1):1-41
references: 12087862
references: Plast Reconstr Surg. 2006 Jan;117(1):207-18; discussion 219-20
references: 16404269
references: Plast Reconstr Surg. 2011 Jun;127(6):2397-2406
references: 21311385
references: Plast Reconstr Surg. 2008 Apr;121(4):170e-178e
references: 18349596
references: J Craniofac Surg. 2002 Jan;13(1):99-104
references: 11887004
references: Plast Reconstr Surg. 2001 Nov;108(6):1492-8; discussion 1499-500
references: 11711916