Clamshell craniotomy

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In this issue of the Journal of Neurosurgery: Pediatrics, Smyth and colleagues describe the “clamshell” craniotomy for the treatment of sagittal synostosis in older children with more mature (stiffer) cranial bones. The purported advantages are that this technique produces excellent outcomes, is associated with acceptable amounts of intraoperative blood loss, reduced operative time, and is safe. The eight patients in this study ranged in age from 11 months to 9.7 years. In addition to sagittal synostosis, one patient also exhibited bilateral coronal synostosis. The authors specifically focus on one area of deformity, the biparietal narrowing of the skull,

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References

1

Marchac DRenier D: Craniofacial Surgery for Craniosynostosis BostonLittle Brown1982

2

Park TSHaworth CSJane JABedford RBPersing JA: Modified prone position for cranial remodeling procedures in children with craniofacial dysmorphism: a technical note. Neurosurgery 16:2122141985

3

Persing JAEdgerton MTJane JA: (eds)Scientific Foundations and Surgical Treatment of Craniosynostosis BaltimoreWilliams and Wilkins1989

4

Persing JAEdgerton MTPark TSJane JA: Barrel stave osteotomy for correction of turribrachycephaly craniosynostosis deformity. Ann Plast Surg 18:4884931987

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