Surgical Complications and Their Management in Anterior Plagiocephaly and Trigonocephaly
Chapter from the book: Güvenç, G. (ed.) 2025. Management of Cranial Surgical Complications in Neurosurgery.

Metehan Küçükkurt
Muğla Sıtkı Koçman University
Hakan Karabağlı
Muğla Sıtkı Koçman University

Synopsis

Trigonocephaly (metopic synostosis) and anterior plagiocephaly (unilateral coronal synostosis) are important subtypes of the non-syndromic craniosynostosis spectrum, and the primary goals of surgical treatment are to correct cranial volume and the orbitofrontal contour, reduce the risk of increased intracranial pressure, and optimize long-term aesthetic/functional outcomes. While open fronto-orbital advancement and remodeling (FOAR/FOA) has been a standard approach for many years, endoscopic strip craniectomy/suturectomy and helmet therapy in the appropriate age group, as well as spring-assisted techniques and fronto-orbital distraction osteogenesis in selected centers, are becoming more widespread with the aim of similar morphological correction and lower morbidity. This compilation aims to present a systematic framework for addressing the complications that can occur during trigonocephaly and anterior plagiocephaly surgeries (hemorrhagic, infectious, neurological, orbital/ocular, respiratory, and aesthetic-secondary deformity-focused), both intraoperatively and postoperatively, and to outline evidence-based perioperative strategies and current protocols for predicting, preventing, and managing these complications.

How to cite this book

Küçükkurt, M. & Karabağlı, H. (2025). Surgical Complications and Their Management in Anterior Plagiocephaly and Trigonocephaly. In: Güvenç, G. (ed.), Management of Cranial Surgical Complications in Neurosurgery. Özgür Publications. DOI: https://doi.org/10.58830/ozgur.pub1086.c4312

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Published

December 29, 2025

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