Fig. 6.

Lambdoid synostosis is corrected by first cutting a neobandeau from the vertex of the skull. This new bandeau is then rotated 180 degrees so that the right side is switched to the left, and then rotated down 90 degrees in a “bucket handle” repair. Bone grafts are placed above and below the new bandeau, completing the reconstruction. (Reprinted with permission from Fearon JA. Rigid Fixaton of the calvaria in craniosynostosis without using “rigid” fixation. Plast Reconstr Surg 2003;11(1):30.)