Fig. 1. Multidirectional cranial distraction osteogenesis (MCDO) procedure. A : Zigzag coronal incision. B : Designing the lines of osteotomy and the drilling points. C : Attachment of the template for anchor pins. D : Drilling the screw holes for anchor pins. E : Osteotomy in small rectangular pieces with an ultrasonic bone curette. F : Rectangular pieces without dural dissection. G : Fixation of traction pins. H : The heads of the traction pins and anchor pins penetrating the scalp. I : Screw of the anchor pins. J : Fixation of the frame on the anchor pins. K : The wires passing through holes in the frame. L : Fixation of the wires to the distractors.
