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14Chapter1inFigure3ComparedtoEACSopenreconstructivesurgeryisamajorsurgicalprocedurewithimportantmorbiditySincetherearemanyoptionsavailabletodissectandreconstructacranialshapea fittingsurgicalstrategyis fundamental toachievethebestsurgicaloutcomeFigure3OpencranialvaultreconstructioninananteriorplagiocephalypatientA) Theprematurelyfusedrightcoronalsuture(yellowdottedline)resultsinanabnormalskullshapeandretractionoftherightorbitB)CranialosteotomiesdividethedeformedareaintodifferentbonesegmentsC) Thebonesegmentsandrightorbitarerepositionedtocreatealargerandestheticalimprovedcranialshapeandrestore(facial)symmetryTHECRANIOFACIAL TEAMThesurgeryaswellasthediagnosistreatmentplanningandfollow-upofcraniosynostosis patients are performed by members of the craniofacial (CFA) teamInourUniversityHospitaltheteamconsistsoforalandmaxillofacialsurgeonsneurosurgeonsorthodontistsandtechnicalphysicians(Figure4)Furthermoreclinical assistants clinical geneticists(pediatric) anesthetists critical care specialistsandresearchersfulfillanessentialroleandallowtheteamtooffereverypatientthebestpossiblecareForpatientsthegoalistogrowintoanadultwhocanfunctionadequatelyinsocietywithanaestheticallyacceptablefaceSince2012theRadboudumcisoneofthetwonationallyappointedexpertcentersforthetreatmentofcraniosynostosisintheNetherlandsRotterdambeingtheotheroneandisamemberoftheEuropeanReferenceNetwork(ERN)forcraniosynostosisTheCFAteamcontinuouslyevaluatesthecurrenttreatmentprocessesandinvestigatestheuseofnewtechnologiesinordertofurtherimprovethetreatmentofcraniosynostosistogetherwiththeRadboudumc3DLab Theresultsofthiscollaborationhaveproventobeeffectiveandhaveledtothesuccessful
