Skull Reshaping
Patient 1
Desire for removal of occipital knob on back of skull.
Occipital knob skull reduction done through a small 3cm overlying skin incision.
Desire for removal of occipital knob on back of skull.
Occipital knob skull reduction done through a small 3cm overlying skin incision.
Patient 2
Desire for less prominent protrusion on the back of the head.
Occipital skull reduction through a bone burring technique.
Desire for less prominent protrusion on the back of the head.
Occipital skull reduction through a bone burring technique.
Patient 3
Desire for correction of narrow head shape which is scaphocephalic in appearance. (high sagittal peak with low parasagittal areas)
Skull reshaping done by sagittal ridge reduction combined with bilateral parasagittal augmentations with PMMA bone cement.
Desire for correction of narrow head shape which is scaphocephalic in appearance. (high sagittal peak with low parasagittal areas)
Skull reshaping done by sagittal ridge reduction combined with bilateral parasagittal augmentations with PMMA bone cement.
Patient 4
Desire for an improved head shape so that it looks rounder and not so peaked or sloped.
Placement of custom skull implant for parasagittal augmentation to create a rounder head shape. An example of what appears to be a high sagittal crest that is really low parasagittal skull areas.
Desire for an improved head shape so that it looks rounder and not so peaked or sloped.
Placement of custom skull implant for parasagittal augmentation to create a rounder head shape. An example of what appears to be a high sagittal crest that is really low parasagittal skull areas.
Patient 5
Desire for a tier square-shaped head.
Placement of custom skull implant to make a more square-shaped head.
Desire for a tier square-shaped head.
Placement of custom skull implant to make a more square-shaped head.
Patient 6
Desire for a higher and more prominent crown of the skull.
Crown of skull augmentation using a custom skull implant.
Desire for a higher and more prominent crown of the skull.
Crown of skull augmentation using a custom skull implant.
Patient 7
Desire to correct dents on his skull and give a rounder head shape.
Placement of custom skull implant to fill in bilateral parietal skull defects and create a rounder head shape.
Desire to correct dents on his skull and give a rounder head shape.
Placement of custom skull implant to fill in bilateral parietal skull defects and create a rounder head shape.
Patient 8
Desire to reduce prominent bone protrusion on the back of his head.
Occipital knob skull reduction through a direct bone burring technique.
Desire to reduce prominent bone protrusion on the back of his head.
Occipital knob skull reduction through a direct bone burring technique.
Patient 9
Desire for correction on flattening on the one side of the back of his head.
Left occipital skull augmentation using PMMA bone cement.
Desire for correction on flattening on the one side of the back of his head.
Left occipital skull augmentation using PMMA bone cement.
Patient 10
Desire to build up the flatter upper part of the back of his head.
Upper occipital skull augmentation using a custom skull implant.
Desire to build up the flatter upper part of the back of his head.
Upper occipital skull augmentation using a custom skull implant.
Patient 11
Desire to build out the back of his head which had bothered him his whole life.
Two-stage skull augmentation of the back of the head using a custom skull implant as the second stage. (first stage scalp expansion)
Desire to build out the back of his head which had bothered him his whole life.
Two-stage skull augmentation of the back of the head using a custom skull implant as the second stage. (first stage scalp expansion)
Patient 12
Desire to make her small head taller and wider.
Two stage skull augmentation using a first stage scalp expansion and a second stage custom skull implant for increased head height and shape.
Desire to make her small head taller and wider.
Two stage skull augmentation using a first stage scalp expansion and a second stage custom skull implant for increased head height and shape.
Patient 13
Desire for young patient to have a rounder back of his head with congenital plagocephaly
Right occipital skull augmentation using hydroxyapatite cement. (because he was a young growing patient)
Desire for young patient to have a rounder back of his head with congenital plagocephaly
Right occipital skull augmentation using hydroxyapatite cement. (because he was a young growing patient)
Patient 14
Desire for a less hollowed and smoother temporal appearance. Had a prior history of Medpor temporal implants placed under the muscle.
Removal of deep bone placed Medpor temporal implants and replacement with custom design temporal implants for a smoother and wider temporal skull appearance.
Desire for a less hollowed and smoother temporal appearance. Had a prior history of Medpor temporal implants placed under the muscle.
Removal of deep bone placed Medpor temporal implants and replacement with custom design temporal implants for a smoother and wider temporal skull appearance.
Patient 15
Desire for correction of flat side of back of head.
Left occipital skull augmention with PMMA bone cement. (plagiocephaly correction)
Desire for correction of flat side of back of head.
Left occipital skull augmention with PMMA bone cement. (plagiocephaly correction)
Patient 16
Desire for smoother top of head shape.
Top of head reshaping using bone burring reduction of a high spot and PMMA bone cement augmentation of lower skull areas.
Desire for smoother top of head shape.
Top of head reshaping using bone burring reduction of a high spot and PMMA bone cement augmentation of lower skull areas.
Patient 17
Desire for increased crown of head augmentation.
Crown of skull augmentation using a custom skull implant.
Desire for increased crown of head augmentation.
Crown of skull augmentation using a custom skull implant.
Patient 18
Desire for reduction of prominent bulge on back of his head.
Occiptal knob skull reduction using a bone burring technique through a direct overlying incision.
Desire for reduction of prominent bulge on back of his head.
Occiptal knob skull reduction using a bone burring technique through a direct overlying incision.
Patient 19
Desire for reduction of prominent bulge of bone on back of head.
Occipital skull reduction using a direct bone burring technique.
Desire for reduction of prominent bulge of bone on back of head.
Occipital skull reduction using a direct bone burring technique.
Patient 20
Desire for reduction of midline ridge on top of skull.
Sagittal crest skull reduction using a bone burring technique through a small scalp incision.
Desire for reduction of midline ridge on top of skull.
Sagittal crest skull reduction using a bone burring technique through a small scalp incision.
Patient 21
Desire for reduction of prominent posterior sagittal crest of bone.
Posterior sagittal crest skull reduction using a bine burring technique through a small scalp incision.
Desire for reduction of prominent posterior sagittal crest of bone.
Posterior sagittal crest skull reduction using a bine burring technique through a small scalp incision.
Patient 22
Desire for augmentation of flat back of the head that developed after wide excision and skin grafting of chronic scalp skin infections. This actually represented a loss of scalp thickness rather than a bone deficiency.
Occipital skull augmentation using a custom made implant designed from a measured template overlay on the depressed scalp area. Technically this was a 'scalp augmentation' using a bone-based implant.
Desire for augmentation of flat back of the head that developed after wide excision and skin grafting of chronic scalp skin infections. This actually represented a loss of scalp thickness rather than a bone deficiency.
Occipital skull augmentation using a custom made implant designed from a measured template overlay on the depressed scalp area. Technically this was a 'scalp augmentation' using a bone-based implant.
Patient 23
Desire for correction of head shape which has a bilateral parasagittal skull shape deformity.
Skull augmentation using a custom skull implant inserted through an existing sagittal scalp incision.
Desire for correction of head shape which has a bilateral parasagittal skull shape deformity.
Skull augmentation using a custom skull implant inserted through an existing sagittal scalp incision.
Patient 24
Desire for head width reduction and a flatter side of the head shape.
Bilateral temporal head width reduction dine through excision of the posterior temporal muscles.
Desire for head width reduction and a flatter side of the head shape.
Bilateral temporal head width reduction dine through excision of the posterior temporal muscles.
Patient 25
Desire of less convex or wide shape at the sides of his head.
Bilateral head width reduction through excision of bilateral posterior temporal muscles done through incisions behind the ears.
Desire of less convex or wide shape at the sides of his head.
Bilateral head width reduction through excision of bilateral posterior temporal muscles done through incisions behind the ears.
Patient 26
Desire for augmentation of congenital flat back of the head.
Custom occipital skull implant with first stage scalp expansion for significant occipital augmentation.
Desire for augmentation of congenital flat back of the head.
Custom occipital skull implant with first stage scalp expansion for significant occipital augmentation.
Patient 27
Desire for reduction of skull ridge reduction.
Anterior sagittal skull ridge reduction by bone burring.
Desire for reduction of skull ridge reduction.
Anterior sagittal skull ridge reduction by bone burring.
Patient 28
Desire for rounder shape to the top of the head from a congenital parasagittal deficiency skull shape.
Custom skull implant designed to fill in the parasagittal deficiencies.
Desire for rounder shape to the top of the head from a congenital parasagittal deficiency skull shape.
Custom skull implant designed to fill in the parasagittal deficiencies.
Patient 29
Desire to correct the shape of the back of his head with a prominent occipital knob and flat area above it.
Occipital knob skull reduction combined with placement of custom occipital skull implant. (one day after surgery)
Desire to correct the shape of the back of his head with a prominent occipital knob and flat area above it.
Occipital knob skull reduction combined with placement of custom occipital skull implant. (one day after surgery)
Patient 30
Desire for greater back of the head augmentation.
Occipital augmentation with PMMA bone cement.
Desire for greater back of the head augmentation.
Occipital augmentation with PMMA bone cement.
Patient 31
Desire for correction of flat right back of the head. (occipital plagiocephaly)
Right occipital augmentation with PMMA bone cement.
Desire for correction of flat right back of the head. (occipital plagiocephaly)
Right occipital augmentation with PMMA bone cement.
Patient 32
Desire for reduction of prominent occipital knob on back of head.
Occipital knob skull reduction by burring.
Desire for reduction of prominent occipital knob on back of head.
Occipital knob skull reduction by burring.
Patient 33
Left temporal skull defect from prior craniotomy.
Left temporal skull reconstruction with titanium mesh and hydroxyapatite cement.
Left temporal skull defect from prior craniotomy.
Left temporal skull reconstruction with titanium mesh and hydroxyapatite cement.
Patient 34
Congenital back of the head irregularities.
Back of head (occipital) skull reshaping by a combination of burring high spots and adding hydroxyapatite cement.
Congenital back of the head irregularities.
Back of head (occipital) skull reshaping by a combination of burring high spots and adding hydroxyapatite cement.
Patient 35
Severe narrowing skull deformity from prior sagittal craniosynostosis repair as an adult.
Complete replacement of entire skull by a custom implant with temporal fat injections.
Severe narrowing skull deformity from prior sagittal craniosynostosis repair as an adult.
Complete replacement of entire skull by a custom implant with temporal fat injections.
Patient 36
Desire for more normal shape of the back of the head.
Upper occipital augmentation using PMMA bone cement.
Desire for more normal shape of the back of the head.
Upper occipital augmentation using PMMA bone cement.
Patient 37
Desire for reduction of midline ridge on top of skull.
Reduction of posterior sagittal ridge through a 3cm scalp incision.
Desire for reduction of midline ridge on top of skull.
Reduction of posterior sagittal ridge through a 3cm scalp incision.
Patient 38
Plagiocephaly head shape with right occipital flattening.
Right occipital augmentation with PMMA bone cement for plagiocephaly correction.
Patient 39
Desire for correction of flat side of back of head.
PMMA bone cement augmentation off flat side of back of head.
Desire for correction of flat side of back of head.
PMMA bone cement augmentation off flat side of back of head.
Patient 40
Desire for less width/convexity on the sides of his head.
Bilateral head width reduction by posterior temporal muscle removal.
Desire for less width/convexity on the sides of his head.
Bilateral head width reduction by posterior temporal muscle removal.
Patient 41
Desire for correction of flattening of right back of the head. (occipital plagiocephaly)
Placement of PMMA bone cement through a small incision (3 cms) for augmentation of right back of the head flattening. (5 year followup)
Desire for correction of flattening of right back of the head. (occipital plagiocephaly)
Placement of PMMA bone cement through a small incision (3 cms) for augmentation of right back of the head flattening. (5 year followup)
Patient 42
Desire for reduction in the back of head protrusion.
Occipital skull reduction by removal of outer table of skull by burring.
Desire for reduction in the back of head protrusion.
Occipital skull reduction by removal of outer table of skull by burring.
Patient 43
Desire for augmentation of flat left back of head from plagiocephaly.
Placement of custom left occipital skull implant for plagiocephaly.
Desire for augmentation of flat left back of head from plagiocephaly.
Placement of custom left occipital skull implant for plagiocephaly.
Patient 44
Desire for a less prominent and smoother shape to the back of his head.
Occipital bony prominence reduction with parietal onlay bone grafting for a smoother back of head appearance in profile.
Desire for a less prominent and smoother shape to the back of his head.
Occipital bony prominence reduction with parietal onlay bone grafting for a smoother back of head appearance in profile.
Patient 45
Desire for reduction in height of top of head.
Top of head skull reduction by removal of the outer cortical bone layered by a grid burring technique.
Desire for reduction in height of top of head.
Top of head skull reduction by removal of the outer cortical bone layered by a grid burring technique.
Patient 46
Congenital upper paired forehead horn prominence reduction.
Small scalp incision tunnel technique for forehead horn reductions.
Congenital upper paired forehead horn prominence reduction.
Small scalp incision tunnel technique for forehead horn reductions.
Patient 47
Desire for reduction of prominent occipital knob deformity.
Intraoperative result from occipital knob skull reduction through a direct small scalp incision.
Desire for reduction of prominent occipital knob deformity.
Intraoperative result from occipital knob skull reduction through a direct small scalp incision.
Patient 48
Removal of prominent midline sagittal bony ridge on top of head.
Reduction of posterior sagittal skull ridge through a small 3 cm scalp incision.
Removal of prominent midline sagittal bony ridge on top of head.
Reduction of posterior sagittal skull ridge through a small 3 cm scalp incision.
Patient 49
Desire for further skull augmentation after a primary skull implant.
Five years after an initial custom skull implant placement a new custom skull implant that increased the volume by 35% was placed.
Desire for further skull augmentation after a primary skull implant.
Five years after an initial custom skull implant placement a new custom skull implant that increased the volume by 35% was placed.
Patient 50
Desire to reduce visible protrusion from the back of his head.
Occipital knob with lateral nuchal extension bony reductions done through a minimal incision technique.
Desire to reduce visible protrusion from the back of his head.
Occipital knob with lateral nuchal extension bony reductions done through a minimal incision technique.
Patient 51
Desire for improved head shape that has a less peaked shape.
Placement of custom skull implant.
Desire for improved head shape that has a less peaked shape.
Placement of custom skull implant.
Patient 51
Desire for taller and rounder head shape.
Two stage custom skull implant augmentation technique.
Desire for taller and rounder head shape.
Two stage custom skull implant augmentation technique.
Patient 53
Desire for correction of sagittal dip skull deformity.
Placement of custom sagittal dip skull implant.
Desire for correction of sagittal dip skull deformity.
Placement of custom sagittal dip skull implant.
Patient 54
Desire for reduction of prominent occipital knob skull deformity.
Small incision occipital knob skull reduction.
Desire for reduction of prominent occipital knob skull deformity.
Small incision occipital knob skull reduction.
Patient 55
Reconstruction of loss of frontotemporal craniotomy bone flap from neurosurgery.
Reconstruction of full-thickness skull defect with computer-generated HTR-PMI cranial implant.
Reconstruction of loss of frontotemporal craniotomy bone flap from neurosurgery.
Reconstruction of full-thickness skull defect with computer-generated HTR-PMI cranial implant.
Patient 56
Desire for reduction of large occipital bone prominence.
Occipital bone reduction with scalp excision/tuck through existing horizontal neck skin crease.
Desire for reduction of large occipital bone prominence.
Occipital bone reduction with scalp excision/tuck through existing horizontal neck skin crease.
57
Scalp avulsion due to traumatic injury which left a large patch of non-hair bearing scalp.
Hair bearing scalp reconstruction using a first stage tissue expanders and second stage scalp scar removal.
Scalp avulsion due to traumatic injury which left a large patch of non-hair bearing scalp.
Hair bearing scalp reconstruction using a first stage tissue expanders and second stage scalp scar removal.
Patient 58
Reduction of prominent bump in the center of the back his head.
Occipital knob skull reduction done through a small overlying scalp incision.
Reduction of prominent bump in the center of the back his head.
Occipital knob skull reduction done through a small overlying scalp incision.
Patient 59
Desire to reduce anterior sagittal skull prominence.
Anterior sagittal skull prominence reduction through bone burring technique.
Desire to reduce anterior sagittal skull prominence.
Anterior sagittal skull prominence reduction through bone burring technique.
A detailed description and pictures of your concerns allows for the most informed response.
North Meridian Medical Building
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