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Longitudinal evaluation17710Thedesignsoftheremoldinghelmetsandthepatienttailoredsurgicalplanshaveaveryimportanteffectonthefinalcranialshape Yetsinceitisalmostimpossibletotakethesefactorsintoconsiderationanddifferentiatefurther,wedecidedtogroupthepatientsandevaluatethecombinedoutcomesofthepatientsinthetwotreatmentgroupsSinceotherinstitutionsmightusedifferentsurgicaland/ortreatmenttechniquesapotentialcaveatisthattheresultsofthisstudyareonlypertinentforourcentreYetbasedonthelong-termevaluationandthesecondarytreatmentaspectsthatwereusedinthisstudyourinstitution’spreferenceforEACSwasconfirmedCONCLUSIONBasedonourdataandthetreatmentsoptionsusedinourcenter,weconcludethatEACSbefore theageof6monthsisa valid treatmentoption for thecorrectionof scaphocephaly asit attains the same surgicalresults as OCVRup to the age of 48monthsWeconsiderthisthepreferredtreatmentoptionforscaphocephalyduetobettersecondary treatmentaspectsEarlydiagnosticsandreferral forsuspectedcraniosynostosistomakeEACSaviableoptionisthereforerecommendedACKNOWLEDGEMENTSSeveraloftheauthorsofthispublicationaremembersoftheEuropeanReferenceNetworkCRANIO-ProjectID “NO739543”