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

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

Authors:
Ясонов С.А.,
Васильев И.Г.

Журнал: Пластическая хирургия и эстетическая медицина. 2026;(1):56-63.

DOI: 10.17116/plast.hirurgia202601156

Read: 2111 раз

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Abstract

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

Дата поступления: 20.10.2025

Дата принятия в печать: 13.11.2025

Дата публикации: 30.03.2026

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