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Cited by 8Craniofacial Disorders and TreatmentsPectus Deformity Diagnosis and TreatmentReconstructive Facial Surgery Techniques

Triple square extended osteotomies for treatment of scaphocephaly (Renier’s “H” technique modification)

Micovic, Mirko, Zivkovic, Bojana, Bascarevic, Vladimir, Mijalčić, Radovan, Rasulic, Lukas·2016·Neurosurgical Review
DOI 10.1007/s10143-015-0661-z
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Abstract

Scaphocephaly is the most common single suture craniosynostosis. Surgical technique has evolved from simple strip craniectomy over π-procedures and vertex craniectomies to extensive cranial remodeling which is preferred procedure nowadays. The purpose of this paper is to present our modification of Renier's standard "H" technique and its preliminary results in detail. Eleven patients with scaphocephaly were surgically treated from January 2011 until January 2014. Only children with isolated sagittal synostosis were included in the study. Our modified Renier's technique reduces the possibility of lesion of superior sagittal sinus, dividing parietal bone in three bone fragments, thus achieving shortening of the scull in AP diameter without detaching the bone from the superior sagittal sinus. The possibility for potential secondary stenosis is minimized using extended V-shaped osteotomies with rounding of the bone edges, as well as making wide neocoronal and neolambdoid sutures. Cosmetic results were estimated as very pleasing immediately after surgery by both the parents and the surgeons in all cases. The majority of patients presented in our study were categorized as Sloan Class 1. Improvement or normalization of the cranial index was accomplished in all patients. No revision surgeries were required during the follow-up. Triple square extended osteotomies technique is a fast, simple, and efficient surgical option for children with sagittal synostosis and can be safely applied in the first months of life in children even under weight of 6 kilos. Preliminary results are encouraging and deserve a longer follow-up and comparative surgical analysis to verify its usefulness in the future.

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Crossref · 10.1007/s10143-015-0661-z

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  • Alternative surgical techniques such as the Peau d'Ours technique, triple square extended osteotomies, and transsutural distraction osteogenesis remain limited to specialized centres and lack widespread clinical acceptance due to their complexity and the availability of more established techniques.

    “Despite ongoing advancements, several alternative surgical techniques remain limited to specialized centres. Approaches such as the Peau d'Ours technique, triple square extended osteotomies, and transsutural distraction osteogenesis have been explored but lack widespread clinical acceptance due to their complexity and the availability of more established techniques [54, 81–84].”

    From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [83]

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Authors
Micovic, M., Zivkovic, B., Bascarevic, V., Mijalčić, R., & Rasulic, L.
Affiliations
Univerzitetski Klinički Centar Srbije (RS)
Corresponding author
Rasulic, Lukas
ORCID
Rasulic, Lukas
Venue
Neurosurgical Review
Publisher
Springer Science and Business Media LLC
Published
2015-08-29
Volume
39
Issue
1
Pages
115-122
ISSN
  • 0344-5607 (ISSN-L)
  • 1437-2320
DOI
10.1007/s10143-015-0661-z
OpenAlex
W1170772266
Cited by
8
References
19
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Neurosurgical Review (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
  • Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
Keywords
scaphocephaly, sagittal craniosynostosis, cranial remodeling, cranial index, cosmetic outcome
MeSH terms
Constriction, Pathologic, Craniosynostoses, Female, Follow-Up Studies, Humans, Infant, Male, Osteotomy, Parietal Bone, Postoperative Care, Postoperative Complications, Retrospective Studies, Skull, Synostosis, Prone Position, Treatment Outcome, Neurosurgical Procedures, Plastic Surgery Procedures, Patient Positioning

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