ePlasty: Vol. 20
The Use of Intraoperative Radiography for Osteotomy Planning in Craniosynostosis Posterior Cranial Vault Distractor Application, Technique Description
Taghreed Alhumsi, MD, SB-plast, EBOPRAS,a Abdulaziz Alshenaifi, MD,b and Mohammed Almarghoub, MDc

aPlastic Surgery Division, King Saud University Medical City, Riyadh, Saudi Arabia; bCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; and cPlastic Surgery Department, King Faisal Specialized Hospital & Research Centre, Riyadh, Saudi Arabia

Correspondence: Dr.shenaifi@gmail.com
Keywords: posterior cranial vault distraction, PVDO, craniosynostosis, cranial osteotomy, distractor application

Posterior cranial vault distraction osteogenesis (PVDO) is evolving as one of the first-line treatments in managing craniosynostosis. Intraoperative decision for sites of osteotomies requires precise planning and accurate placement of distractors. Objective: This technique helps in determining and confirming the pre-surgical planned osteotomy sites along with the distraction vectors. Technique: intraoperative plain skull radiography is used to determine the osteotomy site guiding placement of distractors using radio-opaque instrument. Result and discussion: we believe this techni .......