Procedures and treatments

Preparing a child for a procedure or treatment can be an anxious occasion. Great Ormond Street Hospital have produced a number of factsheets to help explain what will happen and what to expect.

Procedures and treatments search

Search for information on procedures and treatments at Great Ormond Street Hospital.

Having a RED Frame

The RED frame, which stands for ‘Rigid External Distraction’, has been used successfully for many years in children and adults to help correct many facial problems by advancing the forehead and midface. The frame helps the Craniofacial team to make adjustments to the shape of the face. This information from Great Ormond Street Hospital (GOSH) explains more about how we use RED frames.

Bowel washouts using an antegrade colonic enema (ACE)

Bowel washouts are a method of dealing with constipation or with soiling, which is the leakage of faeces (poo) other than during a bowel movement. If other methods fail, doctors may recommend bowel washouts using an antegrade colonic enema (ACE). This can also be called the Malone or MACE method. This page from Great Ormond Street Hospital (GOSH) explains about bowel washouts using an ACE and what to expect when your child has treatment.

Assessment for craniofacial surgery

You may already have seen members of the craniofacial team but often we ask for a more detailed assessment to plan treatment now and in the future. This craniofacial assessment takes place over two to three days and involves other members of the multidisciplinary craniofacial team. This page from Great Ormond Street Hospital (GOSH) explains the series of appointments that make up the craniofacial assessment process. 

Spring-assisted cranioplasty

Spring-assisted cranioplasty is a type of operation used to correct the abnormal head shape seen in children with sagittal craniosynostosis. It involves removing a tiny piece of skull bone, making cuts (osteotomies) either side of the fused sagittal suture and inserting metal springs that gradually widen the gap, which encourages new bone to grow in between the two cut surfaces. It also enlarges the space within the skull to allow the brain to grow and develop. This page from Great Ormond Street Hospital (GOSH) explains about the spring-assisted cranioplasty operation, which is used to treat craniofacial disorders. It explains how to prepare your child for surgery as well as what to expect in hospital afterwards.

Posterior vault expansion

A posterior vault expansion operation is a type of operation used to enlarge the space within the skull to allow the brain to grow and develop. This page from Great Ormond Street Hospital (GOSH) explains about the posterior vault expansion operation, which is used to treat craniofacial disorders. It explains how to prepare your child for surgery as well as what to expect in hospital afterwards.

Total calvarial remodelling

Total calvarial remodelling is used to correct an abnormal head shape. It also enlarges the space within the skull to allow the brain to grow and develop. This page from Great Ormond Street Hospital (GOSH) explains about the operation total calvarial remodelling and how to prepare your child for surgery as well as what to expect in hospital afterwards.

Sagittal craniectomy with barrel staving

The sagittal craniectomy with barrel staving operation is used to correct an abnormal head shape. It also enlarges the space within the skull to allow the brain to grow and develop. This page from Great Ormond Street Hospital (GOSH) explains about the operation sagittal craniectomy with barrel staving, and how to prepare your child for surgery as well as what to expect in hospital afterwards.