case_images: PMC3791821_01
case_images: Three-month-old female patient with Saethre-Chotzen syndrome and bicoronal synostosis resulting in significant turribrachycephaly (a). The sagittal, lambdoid, and squamosal sutures were patent with a large fontanelle, characteristic of Saethre-Chotzen syndrome. Initial computed tomographic volume rendering shows bicoronal craniosynostosis (b).
case_images: eplasty13e52_fig1.jpg
case_images: PMC3791821_01_eplasty13e52_fig1.jpg
case_images: F1
case_images: Our patient presented at 3 months of age with bilateral coronal synostosis and profound turribrachycephaly (Fig 1).
case_images: Bilateral craniectomy was performed and distraction plates connected to external arms were implanted along the osteotomy. At home, the family turned the arms 1 mm per day totaling 34 mm over 1 month.
case_images: eplasty13e52_fig2.jpg
case_images: PMC3791821_01_eplasty13e52_fig2.jpg
case_images: F2
case_images: Internal distractors with 4-cm distraction arms were placed along the osteotomy sites of the parietal bones; the intended vector was posterior-inferior from the skull apex (Fig 2).
case_images: Clinical (a) and radiographic appearance (b) after 3 months of bony consolidation. Distraction hardware was subsequently removed.
case_images: eplasty13e52_fig3.jpg
case_images: PMC3791821_01_eplasty13e52_fig3.jpg
case_images: F3
case_images: She was distracted 34 mm over 4 weeks, with correction of her occipital head shape and successful osteogenesis at the distraction site (Fig 3).
case_images: Clinical (a) and radiographic appearance (b-d) 1 year after posterior vault distraction reveals pan-suture synostosis. Routine computed tomography demonstrated interval closure of the sagittal and lambdoid sutures.
case_images: eplasty13e52_fig4.jpg
case_images: PMC3791821_01_eplasty13e52_fig4.jpg
case_images: F4
case_images: One year postoperatively, a computed tomographic scan revealed fusion of all her cranial sutures:a delayed pan-suture synostosis (Fig 4).