Remodeling Techniques for Immature and Mature Cranial Vault Bone

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Abstract
Remodeling cranial vault bone requires age-dependent technique modifications. Cranial vault bone, in children less than 1 year of age, remodels, readily using radially oriented osteotomies. In children older than 1, however, the bone is relatively brittle, yet it, too, may be remodeled by sectioning it first into 1.5 to 2.0 cm wide strips, then placing resistance-weakening kerfs on the bone's endocranial surface. The kerfs weaken the bone regionally so that controlled bending may occur.

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