Bicoronal Sutures Synostosis

Brachycephaly results from bilateral coronal synostosis producing a flat retruded forehead and a high or low cranial vault. Surgical treatment of bicoronal synostosis (brachycephaly) is challenging. The intervention is based on three factors such as brain compression, aesthetics/repair, and ophthalmologic impairment. Surgical indication must be early, and in non-syndromic children, it is recommended between 6 and 12 months. The technique used in brachycephay is the floating foreahead technique. It includes reshaping the forehead and advancing the bando. The described surgical technique evolves the advance of a lifted supra-orbital bar. The child should be monitored in ICU with careful hemodynamic stabilization and bleeding control. Prescription of intravenous and/or oral analgesia on a regular basis should be recommended.