Evolution of operative techniques for the treatment of single-suture metopic synostosis.

Purpose: Primary orbitocranioplasty for metopic craniosynostosis encompasses a variety of techniques, with variable long-term success. The authors present a series illustrating the evolution of surgical techniques and its impact on surgical outcomes.

Methods: All patients with single-suture metopic synostosis treated at the Children's Hospital of Philadelphia from 1975-2004 were included.