Bicoronal Format: Emily

Emily presented to the Children’s Medical Center Craniofacial Team at age 13 weeks old, referred by her neurosurgeon for concerns of syndromic craniosynostosis. Genetic testing confirmed that she had Muenke syndrome.  Her preoperative photos on the left demonstrate that Emily has a tall and wide skull. The skull is short from front to back, and there is significant flattening of the back of the head. She was treated with posterior cranial vault distraction osteogenesis, which gradually increases the size of the skull. View pictures of Emily during her mid-distraction. Her postoperative photos on the right demonstrate a significant increase in the length of the skull from front to back and rounding of the back of the head. These changes significantly improved Emily’s appearance, even though no surgical procedure was performed to the face or front part of the skull.

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