Treatment of syndromic and nonsyndromic bilateral coronal synostosis in infancy and childhood.

The treatment of nonsyndromic and syndromic bilateral coronal synostosis has been outlined. Essential features of this individualized approach include technique modification in bone remodeling and fixation according to the age of the patient as well as additional emphasis on elongating the anterior cranial base or periorbital segment in patients with syndrome-associated bilateral coronal synostosis. Common to the treatment of all patients with turribrachycephaly related to bilateral coronal synostosis is an emphasis on holistic reshaping of the skull afforded by the positioning of the patient in the modified prone position, which gives simultaneous access to the anterior and posterior skull for optimal reshaping of hypoplastic and compensatory abnormalities.