Abstract
For children with craniosynostosis presenting intracranial hypertension and facial hypoplasia, different techniques have been used. Commonly, an initial frontoorbital advancement to expand a tight cranium volume was followed by Le Fort III osteotomy to repair midface abnormalities several months later. The 2-stage surgeries were unified into a 1-step procedure to optimize treatment. We here report results of frontofacial monobloc advancement, applying gradual distraction by a rigid external distraction device. Three patients were treated with excellent functional and cosmetic outcome with high rate of patient satisfaction. There was no remarkable complication.
MeSH terms
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Child
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Craniofacial Dysostosis / diagnostic imaging
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Craniofacial Dysostosis / surgery*
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Craniotomy
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Decompression, Surgical / methods
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Esthetics
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Facial Bones / abnormalities
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Facial Bones / diagnostic imaging
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Facial Bones / surgery*
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Female
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Frontal Bone / abnormalities
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Frontal Bone / diagnostic imaging
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Frontal Bone / surgery*
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Humans
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Imaging, Three-Dimensional
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Intracranial Hypertension / etiology
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Intracranial Hypertension / psychology
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Intracranial Hypertension / surgery
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Mandibulofacial Dysostosis / diagnostic imaging
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Mandibulofacial Dysostosis / surgery*
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Osteogenesis, Distraction / instrumentation
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Osteogenesis, Distraction / methods*
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Osteotomy, Le Fort
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Patient Satisfaction
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Tomography, X-Ray Computed
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Ventriculoperitoneal Shunt