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Over the course of 20\u2009years operating on these patients, the senior author has made multiple adjustments to compensate for relapse asymmetry, including overcorrection on the affected side, increased points of fixation, periosteal release, and scalp expansion with galeal scoring to minimize tension of the closure. As a result of these interventions, we have seen improved immediate results following surgery. However, we have continued to note clinically significant relapse postoperatively. As such, we have started to implement postoperative helmet therapy (PHT) to help maintain the surgical correction, improve secondary brachycephaly, and increase overall symmetry. PHT is a reasonable low\u2010risk complement to fronto\u2010orbital advancement and cranial vault remolding. Clinically, PHT appears to help minimize relapse and improve overall head symmetry. Further investigation and increased patient enrollment are required to determine the true benefits of PHT in this patient population.<\/jats:p>","DOI":"10.1002\/ajmg.a.62256","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T11:39:39Z","timestamp":1621424379000},"page":"2670-2675","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Postoperative helmet therapy following fronto\u2010orbital advancement and cranial vault remodeling in patients with unilateral coronal synostosis"],"prefix":"10.1002","volume":"185","author":[{"given":"Erik M.","family":"Wolfswinkel","sequence":"first","affiliation":[{"name":"Division of Plastic and Maxillofacial Surgery Children's Hospital Los Angeles Los Angeles California USA"},{"name":"Division of Plastic and Reconstructive Surgery Keck School of Medicine Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1181-7828","authenticated-orcid":false,"given":"Pedro A.","family":"Sanchez\u2010Lara","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Cedars\u2010Sinai Medical Center Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laya","family":"Jacob","sequence":"additional","affiliation":[{"name":"Division of Plastic and Maxillofacial Surgery Children's Hospital Los Angeles Los Angeles California USA"},{"name":"Division of Plastic and Reconstructive Surgery Keck School of Medicine Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark M.","family":"Urata","sequence":"additional","affiliation":[{"name":"Division of Plastic and Maxillofacial Surgery Children's Hospital Los Angeles Los Angeles California USA"},{"name":"Division of Plastic and Reconstructive Surgery Keck School of Medicine Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"108","DOI":"10.4103\/ams.ams_80_17","article-title":"Unicoronal craniosynostosis and plagiocephaly correction with fronto\u2010orbital bone remodeling and advancement","volume":"7","author":"Balaji S. 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