Single sagittal craniosynostosis surgical treatment with the “Peau d́ours” technique. Single-center experience in Mexico
Abstract
Scaphocephaly (SC) is defined as an elongation of the anteroposterior axis of the skull resulting from the abnormal fusion of the sagittal suture. This study describes the "Peau d'ours" technique and results for correcting SC. We conducted a consecutive and retrospective analysis of patients treated from 2011 to 2016. We evaluated the gender, age, and surgical outcomes. A total of 53 patients were enrolled with a mean age of 19 months old. The advantages of this technique are healthy coronal and lambdoid suture preservation and symmetrical parietal bone flap opening. This technique is safe and simple to reproduce, allowing good surgical outcomes with a low incidence of secondary craniosynostosis. This technique is ideal for patients older than six months old.
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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 [81]
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“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].”
- Authors
- Arenas-Ruiz, J. A., Martínez-Maldonado, H., Hernández-Segura, N. E., Villarreal-Silva, E. E., González-Carranza, V., Torres-García, S., & Chico-Ponce de León, F.
- Affiliations
- Universidad Autónoma de Nuevo León (MX)
- Hospital Infantil de México Federico Gómez (MX)
- Corresponding author
- Arenas-Ruiz, José Ascención
- Venue
- Journal of Clinical Neuroscience
- Publisher
- Elsevier BV
- Published
- 2022-05
- Volume
- 99
- Pages
- 73-77
- ISSN
- 0967-5868 (ISSN-L)
- OpenAlex
- W4220656878
- Cited by
- 3
- References
- 18
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Clinical Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Hospital Infantil de México Federico Gómez
- 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
- sagittal craniosynostosis, scaphocephaly, craniosynostosis surgery, surgical outcomes
- MeSH terms
- Cranial Sutures, Craniosynostoses, Humans, Infant, Mexico, Retrospective Studies, Skull
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