Posterior 2/3 Calvarial Remodeling using Bioccipital Bandeau Advancement in Bilateral Lambdoid Synostosis

ABSTRACT

PURPOSE: Lambdoid synostosis can be found unilaterally, bilaterally or in combination with other forms of craniosynostosis. Based on concept of frontoorbital advancement, we used the technique of occipital advancement in order to correct lambdoid synostosis MATERIAL & METHOD: From 2002 to 2006, standardized occipital bandeau advancement with barrel stave osteotomy was performed in two children who had multiple synostosis. The surgery was carried out for patients 12 & 18 months of age. RESULTS: Aesthetically satisfactory skull shape and normalization of the intracranial pressure could be achieved. A major complication in the form of life-threatening intraoperative hemorrhage and other complications such as infection have not occurred. CONCLUSION: Standardized occipital Bandeau advancement with barrel stave osteotomy allows precise, reproducible and predictable positioning of the segments. Artificial sutures are created as a result of the osteotomy. Remodeling leads to a well-proportioned skull shape and posterior advancement leads to an increase in intracranial volume.