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Spring-Mediated Cranioplasty in Patients With Multiple-Suture Synostosis and Cloverleaf Skull Deformity

Tunçbilek, Gökhan MD, PhD*; Kaykçoğlu, Aycan MD*ıı; Bozkurt, Gökhan MD, PhD; Akalan, Nejat MD, PhD

Journal of Craniofacial Surgery: March 2012 - Volume 23 - Issue 2 - p 374–377
doi: 10.1097/SCS.0b013e318240fc4d
Original Articles

The concept of using implantable springs in craniofacial surgery was developed to dynamically remodel the cranium at the postoperative period. Springs have been shown as an effective treatment modality especially for single-suture synostosis patients and had several advantages over traditional techniques. This report presents 2 patients with cloverleaf skull and 1 patient with multiple-suture synostosis, with severe lacunae, who showed signs of increased intracranial pressure. Decompression and reconstruction were performed using implantable springs after Pi craniectomy. In all patients, lacunae disappeared and calvarial bones ossified almost completely. The shape of the patients’ cranium improved as well. Implantable springs could be a useful addition to the armamentarium of every craniofacial surgeon.

From the Departments of *Plastic and Reconstructive Surgery, and †Neurosurgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Received November 8, 2010.

Accepted for publication June 19, 2011.

Address correspondence and reprint requests to Dr. Gökhan Tunçbilek, Faculty of Medicine, Hacettepe University, Ankara, Turkey; E-mail:

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD