PMC8088534_01
Five years female with left unilateral anterior plagiocephaly
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F1
On examination, she had flattening of the forehead and elevation of the eyebrow on the left side [Figure 1].
Virtual model of the skull
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F2
(a) Measurement of the left fronto orbital bar. (b) Marking of deformed hemifrontal triangle. (c) Reconstruction of contralateral hemioccipital triangle.
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F3
First, the left fronto-orbital bar was measured preserving the supraorbital and supratrochlear nerve [Figure 3a]. Second, the deformed hemifrontal triangle was marked enclosed by point 3, 4, 5 making angle of 43.6 degrees with median plane [Figure 3b]. Third, a contralateral hemioccipital triangle was reconstructed enclosed by point 6, 7, 8 making an angle of 40 degrees with the coronal plane [Figure 3c].
(a) Occipital triangle placed in the frontal region and frontal triangle to the occipital region. (b) The fronto orbital bar reconstructed with biodegradable reconstruction plate.
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F4
The flat bone obtained from the defective frontal region was placed over the occipital region and similarly secured [Figure 4a]. The left fronto orbital bar was reconstructed by a biodegradable reconstruction plate using the template from the opposite side [Figure 4b].