Distractive configuration transformation in plagiocephaly

Distraction is quite useful in selected cases of craniosynostosis, and satisfactory results have been reported. However, there are few reports of distraction being employed in cases of Plagiocephaly. We present an assessment of distractive plagiocephaly using 3D-solid models. Four patients with plagiocephaly underwent fronto-orbital advancement and reshaping assisted by gradual distraction. Pre- and postoperative evaluations were made using 3D-solid models. With the measurement of three fixed regions (forehead, skull base and orbit), all of the cases showed good results. Further, after the distraction was finished, we found a tendency toward improvement in the end configurations.