The Transposed Sagittal Bandeau Technique for Correcting Scaphocephaly

Correcting the scaphocephalic skull shape caused by sagittal craniosynostosis has likely produced a wider variety of treatment approaches than any other single-suture synostosis. Considering that the goals of surgery are to enlarge the intracranial space to facilitate cerebral blood flow and to normalize appearance in all 3 dimensions, the ideal repair should safely and effectively accomplish both objectives. A technical variation on a remodeling procedure is presented, based on the creation of a sagittal bandeau, which provides the foundation for a correction that not only widens the posterior biparietal distance but also remedies the posterior reduction in skull height, resulting in both an expansion of the intracranial space and a normalization of appearance.