Modification of the Melbourne Method for Total Calvarial Vault Remodeling

Plastic and Reconstructive Surgery. Global Open
Christopher D HughesJohn G Meara

Abstract

Sagittal synostosis is the most common form of single suture synostosis. It often results in characteristic calvarial deformities, including a long, narrow head, frontal bossing, a bullet-shaped occiput, and an anteriorly placed vertex. Several methods for correcting the phenotypic deformities have been described, each with their own advantages and challenges. In this study, we describe a modification of the Melbourne method of total calvarial remodeling for correcting scaphocephaly. We conducted a retrospective review of all consecutive patients who underwent total calvarial remodeling using a modified version of the Melbourne technique from 2011 to 2015. We evaluated clinical photographs, computed tomographic imaging, and cephalic indices both pre- and postoperatively to determine morphologic changes after operation. A total of 9 patients underwent the modified Melbourne technique for calvarial vault remodeling during the study period. Intraoperative blood loss was 260 mL (range, 80-400 mL), and mean intraoperative transfusion was 232 mL (range, 0-360 mL). The average length of stay in the hospital was 3.9 days. The mean cephalic indices increased from 0.66 to 0.74 postoperatively (P < 0.01). A modified Melbourne method for c...Continue Reading

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Citations

Sep 6, 2020·The Journal of Craniofacial Surgery·Jing WangGang Wang
Jan 16, 2021·Annals of Plastic Surgery·Anthony A BertrandJustine C Lee
May 27, 2021·Plastic and Reconstructive Surgery. Global Open·Christopher D HughesIngrid M Ganske

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