The aim of surgery for craniosynostosis is to release increased intracranial pressure and to normalize cranial shape. The procedure was developed from simple strip craniectomy of a fused suture before 1960 to total calvarial remodeling after 1970s and later methods of the 1990s, such as distraction and its modifications. According to its history, craniofacial surgeons might be changing their procedures for each condition with more effective, then less invasive ways. Trigocnocephaly and plagiocephaly are treated with conventional fronto-orbital advancement, and scaphocephaly should be changed to select management by its age and condition of distortion; later method we have developed for scaphocephaly of relatively early stage that required lateral expansion of the cranium, but front-coronal remodeling is illustrated. Syndromic craniosynostosis has to be treated posterior calvarial expansion primarily to avoid multiple surgeries.

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