Persing J A, Edgerton M T, Park T S, Jane J A
Ann Plast Surg. 1987 Jun;18(6):488-93. doi: 10.1097/00000637-198706000-00004.
The "barrel-stave" osteotomy procedure addresses the characteristic excessive height and reduced anteroposterior projection of the turribrachycephalic skull in one operative procedure. Four quadrant craniectomies are followed by barrel stave-like osteotomies in the parietooccipital region. The parietooccipital bone undergoing osteotomy is displaced posteriorly, thereby opening up the posterior fossa and effectively increasing the potential volume of the cranial vault. This increased capacity allows for notable reduction in skull height and reshaping of the skull along the anteroposterior axis.
