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174Chapter10Figure7Growthmapsindicatingthemeanheadshapedifferences(inmm)post-EACSsurgeryfor3-6monthsuntil24-48monthsofageNotethecolorscaling(05mm/uniquecolor)DISCUSSIONSECONDARY TREATMENTASPECTSIngeneralEACSperformedequalorbetterthantheOCVRinallofthesecondarytreatmentaspectsOnlyoneEACScasewasadmittedtotheICUduetoanoncraniosynostosis-relatedissue ThissuggeststhattherewerenoEACSinducedICUadmittancesincontrastto25casesforOCVRCuriouslytheOCVRbloodlosslevelsinthisstudyseemlowerthanreportedinotherstudies19–22WethinkthatthiscouldbeattributedtotheuseofvirtualsurgicalplanningtechniquesinourinstitutereducingtheoverallsurgicaltimeandbloodlossOurfindingsareinlinewithandadduptothegrowingbulkofreportsshowingthesuperiorsafetyprofileofminimalinvasivetechniquessuchasEACSoveropenremodelingtechniques31119–313DMEASUREMENTSCranialwidthshowsastrongpost-surgicalincreaseinespeciallyEACS ThisresultsinaCIinclinein the firstmonthsafterEACS forbothgenders followedbyadeclineataround9-12monthsOCVRpatientshaveaconstantpost-surgeryCIovertime(around69-71)ThetrendofCIovertimeisinlinewithotherlongitudinalstudies212332ThedeclineofCIaround9-12monthsintheEACSgroupco-occurs(inmostcases)withthestoppingofthehelmetmoldingtherapy Thereforeone