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.

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. 

Facial bipartition with or without using a rigid external distraction (RED) frame

Facial bipartition is an operation to reshape the front portion of the skull, face and upper jaw to correct an abnormal head shape. This information sheet from Great Ormond Street Hospital (GOSH) explains about the operation called facial bipartition with or without rigid external distraction (RED) frame, 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. 

Fronto-orbital remodelling

Fronto-orbital remodelling is an operation to reshape the bones at the front of the skull and above the eye sockets to correct an abnormal head shape. It also enlarges the space within the skull to allow the brain to grow and develop and is used to treat craniofacial disorders. This page from Great Ormond Street Hospital (GOSH) explains how to prepare your child for surgery as well as what to expect in hospital afterwards.

Open tip rhinoplasty for children with craniofacial disorders

The bridge of the nose is made of bone but the rest of the nose is a flexible tissue called cartilage. A rhinoplasty is an operation to reshape the bone and cartilage in the nose. An open tip rhinoplasty is one where incisions are made to access inside the nostrils. Nose re-shaping is common in children with craniofacial conditions as their nose may be ‘beaked’ or skewed to one side. Some children may have a bifid (split) nose. This page from Great Ormond Street Hospital (GOSH) explains the open tip rhinoplasty operation for children with craniofacial disorders. It explains how to prepare your child for surgery as well as what to expect in hospital afterwards. 

Orbital box osteotomy

Orbital box osteotomy is an operation used to correct abnormal eye socket shape or placement. This page from Great Ormond Street Hospital (GOSH) explains about the operation called orbital box osteotomy, 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.

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.

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.

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.