The bones are then replaced and fixated to form a cranial vault with a normalized shape.Retrospective analysis has given an indication that the use of total cranial vault remodelling provides children with a better cephalic index than does the extended strip craniectomy.An approach that is currently being evaluated involves the use of springs. This intervention is likely most effective when used in the time frame between three and six months of age. Metopic synostosis/trigonocephaly
The main elements of metopic suture closure involve a low volume of the anterior cranial fossa, the metopic ridging and hypotelorism. These problems are all addressed during the surgical intervention.The volume is increased by placing the frontal bones and the supraorbital rim further forward. This is done by excision of the bones after which they are reshaped with greenstick fracturing. Replacement of the bones provides a possibility for the correction of the hypotelorism at the same time. A bone graft is placed in between the two halves of the supraorbital bars, thereby increasing the width between the orbits. The metopic ridge can then be corrected with a (simple) burring. Unilateral coronal synostosis/anterior plagiocephaly
The treatment of unilateral coronal synostosis is typically performed in two parts: the forward advancement of the supraorbital bar and the correction of the orbital asymmetry.The supraorbital bar is the rim just above the eye socket; as discussed under phenotype, the supraorbital and the frontal bone are typically recessed at the ipsilateral side of the head.
Cutaneous diphtheria is an infection of the skin by Corynebacterium diphtheriae. : 265   It is also known as "desert sore". See also
Diphtheria
Skin lesion


== References ==