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. 2018 Aug 8;6(8):e1800. doi: 10.1097/GOX.0000000000001800

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Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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Fig. 1. — Operative steps to performing single-stage total calvarial vault remodeling. A, Osteotomy markings: A: fronto-parietal segment; B: parieto-occipital segment; c: anterior axial cranial strip; D: posterior axial cranial strip; E: frontal bandeau. B, Final position of cranial segments: A: fronto-parietal segment with barrel staves. Now displaced anteriorly by the width of C; B: parieto-occipital segment now posteriorly displaced by the width of D; E: frontal bandeau advanced by width of C. Note: photograph shows modified procedure with occipital widening. C, Modification to include occipital widening.