A new method for the treatment of scaphocephaly by porcupine quill like diverging longitudinal parietal flaps

Yasonov S.A.; Vasilyev I.G.

doi:https://doi.org/10.17116/plast.hirurgia202601156

Yasonov S.A.

Pirogov Russian National Research Medical University, Moscow, Russia;
Russian Medical Academy for Continuous Professional Education, Moscow, Russia

ORCID: 0000-0003-0319-3103

Vasilyev I.G.

Voyno-Yasenetsky Scientific Center of Specialized Pediatric Medical Care, Moscow, Russia

Scopus AuthorID: 57224358231
ORCID: 0000-0003-4443-0179

A new method for the treatment of scaphocephaly by porcupine quill like diverging longitudinal parietal flaps

Authors:

Yasonov S.A., Vasilyev I.G.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2026;(1): 56‑63

DOI: 10.17116/plast.hirurgia202601156

Read: 885 times

To cite this article:

Yasonov SA, Vasilyev IG. A new method for the treatment of scaphocephaly by porcupine quill like diverging longitudinal parietal flaps. Plastic Surgery and Aesthetic Medicine. 2026;(1):56‑63. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202601156

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)

Использование инфографики авторами научных работ

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OBJECTIVE

To propose a cranioplasty technique using porcupine quill like diverging longitudinal parietal flaps for cranial augmentation with simultaneous change of width, height and angle of occipital region while maintaining cranial growth potential.

MATERIAL AND METHODS

This method was used to correct scaphocephaly in 100 patients aged 5 months — 3.5 years (mean 1 year 1 month). To evaluate patient outcomes preoperatively (n=100), immediately postoperatively (n=100), 1 year postoperatively (n=59), and 2-3 years postoperatively (n=35), we measured length, width and height of the skull, cranial index, altitudinal-longitudinal and altitudinal-latitudinal indices.

RESULTS

We found significant changes in linear dimensions immediately postoperatively and throughout 2-3 years after procedure. This indicated significant changes in skull shape immediately after surgery and preservation of growth potential. The indices demonstrated significant changes in skull shape and normalization of its proportions.

CONCLUSION

Original technique increases cranial volume and significantly changes its shape. Unfixed area between occipital and parietal bones allows for further brain growth.

Keywords:

scaphocephaly

craniosynostosis

cranioplasty

Authors:

Yasonov S.A.

Pirogov Russian National Research Medical University, Moscow, Russia;
Russian Medical Academy for Continuous Professional Education, Moscow, Russia

ORCID: 0000-0003-0319-3103

Vasilyev I.G.

Voyno-Yasenetsky Scientific Center of Specialized Pediatric Medical Care, Moscow, Russia

Scopus AuthorID: 57224358231
ORCID: 0000-0003-4443-0179

Received:

20.10.2025

Accepted:

13.11.2025

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References:

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