Open Traditional Craniofacial Surgery

"At times, an open cranial vault reconstruction, or a larger, more traditional calvarial or skull remodeling is needed"

Treatments for Open Traditional Craniofacial Surgery

The traditional skull remodeling surgery takes about 4- 6 hours and is often done with a team of surgeons. Plastic surgeons, oral-maxillo-facial surgeons (OMFS) and neurosurgeons often operate together. The bones of the skull are removed completely or in part, and then the whole or part of the skull is reshaped and recontoured. The bones are held together with suture, wire, plates and/ or screws. These devices may be permanent or absorbable.

When a total calvarial remodeling is done, there is often swelling associated with the surgery. Because of IV fluids, and blood, that collects under the skin, the child’s eyes may be swollen shut for a few days. Once the swelling goes down, the child is again able to open their eyes.
In these surgeries, the children almost always go to the pediatric ICU after surgery. The children are watched carefully in the pediatric ICU for several days. Blood tests may be done to check electrolytes or salts in the blood, hemoglobin and/ or hematocrit. Since blood loss may occur during surgery, and the baby’s blood gets diluted with IV fluids, sometimes babies need a transfusion during or after surgery. If you are interested in donating blood before your child’s surgery, please let your surgeon know at least 4 weeks in advance. Additionally, there are blood saving techniques that most surgeons use, to limit blood loss during surgery. It is important to talk to your surgeons, so that you fully understand the procedures planned for your child.

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NOTICE: This website is for informational purposes only and is not intended as medical advice or as a substitute for a patient/physician relationship.

NJCFC is committed to creating a culturally diverse, inclusive and collaborative community for patients and their families, employees and associates where each person is celebrated and has a sense of equal belonging. See our DEI Statement Page for more information.

NJCFC does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of the services and benefits of any of its programs and activities or in employment therein. This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations part 80, 84, and 91.
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