BACKGROUND: Techniques for @entity91 correction continue to evolve to improve outcomes and minimize morbidity. The techniques now used by our craniofacial service are spring-assisted cranioplasty for younger @entity1 (generally up to 9 months of age) and biparietal barrel staving with cross-struts using bioabsorbable plates for older @entity1 . We evaluate the evolution of, and rationale for, our current methods of treatment. METHOD: All @entity1 who underwent surgery for @entity91 over the period 1982 to 2007 were retrospectively reviewed. @entity1 with @entity91 were analyzed according to the type of operative procedure performed. @entity190 , operative time, and hospital stay were compared between techniques using analysis of variance. RESULTS: Seventy-one @entity1 had a cranial vault remodeling procedure for @entity91 . Thirty-four @entity1 had @entity91 with @entity91 . During the period 1982 to 2000, 13 @entity1 had a strip craniectomy, and 5 @entity1 had a barrel stave and morcellation procedure. Since 2001, the cross-strut technique using bioabsorbable plates has been used in 7 @entity1 . In 2005, the spring cranioplasty technique was introduced and has been used in 9 @entity1 . There were no deaths and no serious complications. One @entity1 treated with springs had a second spring procedure performed to further increase biparietal width. Spring-assisted cranioplasty had a significantly shorter operating time than other techniques (P < 0.01). CONCLUSION: The availability of both absorbable plates and expansile cranial springs has revolutionized the techniques our unit uses for @entity91 correction. Our early experience with these techniques has shown that the techniques are reliable and give good cranial shape and form with minimal treatment morbidity.

Evolution of surgery for XXXX : the role of new technologies.

@entity91 :: ('MESH:D003398', 'Disease') :: ['sagittal synostosis', 'scaphocephaly', 'craniosynostosis'] @entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'patient'] @entity190 :: ('MESH:D006473', 'Disease') :: ['Blood loss']
@entity91 :: (MESH:D003398,Disease) :: ['sagittal synostosis']
