Craniosynostosis involving the posterior sagittal suture results in a
characteristic skull deformity known as bathrocephaly. Surgical correc
tion of this deformity using the reverse pi procedure has yielded inco
nsistent results. We present a new method for expanding the transverse
posterior skull while simultaneously reducing the longitudinal dimens
ion. An absorbable microplate-reinforced bone strut is used as a frame
work on which the remainder of the skull is reconfigured; its sf abili
ty prevents relapse. The posterior skull squeeze is produced using abs
orbable mesh plates, Use of rigid fixation is limited to absorbable ha
rdware in the growing craniofacial skeleton.