J Korean Cleft Palate-Craniofac Assoc.  2007 Apr;8(1):1-5.

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

• Paik HW
• Kim MC
• Byeon JH

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.

Keyword

Lambdoid synostosis; Occipital plagiocephaly; Craniosynostosis

MeSH Terms

Child
Craniosynostoses*
Hemorrhage
Humans
Intracranial Pressure
Osteotomy
Skull
Sutures
Synostosis