OBJECTIVE Surgical techniques to correct scaphocephaly often rely on the implantation of foreign material and/or postoperative helmet therapy and possibly result in minimal correction of frontal bossing. Moreover, foreign material and helmet therapy are associated with extra medical care and financial costs. Frontal bossing is perceived as a prominent, disfiguring feature of scaphocephaly. Herein, authors present the results of a total cranial vault remodeling technique that corrects scaphocephaly features without relying on foreign material or postoperative helmet therapy. It includes frontal release and pterional decompression, which aim to correct frontal bossing. METHODS All patients who had been operated on for isolated scaphocephaly at a single institution between January 2011 and December 2020 were included in this retrospective review. Operation time, transfusion volume, hospital stay, complications, cephalic index (CI), and bossing angle (BA) were analyzed. RESULTS Sixty-five patients with nonsyndromic scaphocephaly were included in this analysis. Imaging to calculate the CI and BA preoperatively, immediately postoperatively, and 1 year postoperatively was available in 22 and 20 patients, respectively. The mean CI increased from 69.2% preoperatively to 74.6% postoperatively and 75.5% 1 year postoperatively. The mean BA decreased from 114.5° preoperatively to 111.6° postoperatively and 108.9° 1 year postoperatively. The mean operating time was 2 hours 4 minutes, and the median blood transfusion volume was 100 ml. There were no major complications or reoperations. CONCLUSIONS The described total cranial vault remodeling technique is a safe procedure that mitigates total treatment burden, as no helmet therapy or implantation of foreign material is needed. It is effective in correcting CI and results in significant frontal bossing correction. The latter is attributed to a distinctive feature of the technique: frontal release and pterional decompression.

中文翻译：

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颅骨穹窿重塑，包括翼点减压治疗非综合征性舟头畸形患者：技术说明和回顾性病例系列

客观的矫正舟状头畸形的手术技术通常依赖于异物植入和/或术后头盔治疗，并且可能导致额叶凸出的最小矫正。此外，异物和头盔治疗会带来额外的医疗护理和财务费用。额叶隆起被认为是舟头畸形的一个突出的、毁容的特征。在此，作者介绍了全颅顶重塑技术的结果，该技术无需依赖异物或术后头盔治疗即可矫正舟头畸形特征。它包括额叶释放和翼点减压，旨在纠正额叶隆起。 方法2011 年 1 月至 2020 年 12 月期间在同一机构接受孤立性舟头畸形手术的所有患者均纳入本次回顾性评价。分析手术时间、输血量、住院时间、并发症、头颅指数（CI）和凸台角（BA）。 结果该分析包括 65 名非综合征性舟头畸形患者。分别有 22 名患者和 20 名患者在术前、术后即刻和术后 1 年进行了影像学计算 CI 和 BA。平均 CI 从术前的 69.2% 增加到术后的 74.6%，术后 1 年增加到 75.5%。平均 BA 从术前的 114.5° 降至术后的 111.6°，术后 1 年降至 108.9°。平均手术时间为2小时4分钟，中位输血量为100毫升。没有出现重大并发症或再次手术。 结论所述的全颅顶重塑技术是一种安全的手术，可以减轻总体治疗负担，因为不需要头盔治疗或植入异物。它可以有效地矫正 CI，并产生显着的正面凸纹矫正效果。后者归因于该技术的一个显着特征：额叶释放和翼点减压。