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Related Experiment Videos

A modified fixation method in supraorbital bar advancement.

E Songür1, S Mutluer, T Gürler

  • 1Department of Plastic and Reconstructive Surgery, Ege University Medical School, Izmir, Turkey.

The Journal of Craniofacial Surgery
|October 26, 1999
PubMed
Summary

This study introduces a novel supraorbital bar osteotomy technique for craniofacial reconstructions. The modification enhances fixation rigidity, effectively preventing relapse without the need for bone grafts.

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Orthognathic Surgery

Background:

  • Advancement of the supraorbital bar is a common requirement in congenital craniofacial deformity reconstructions.
  • Current fixation techniques aim to minimize relapse, but achieving sufficient firmness remains a challenge.

Purpose of the Study:

  • To present a new modification in supraorbital bar osteotomy designed to enhance fixation stability.
  • To evaluate the efficacy of this modification in preventing relapse in craniofacial reconstructions.

Main Methods:

  • A novel osteotomy technique involving the creation of bilateral small triangles at the supraorbital bar's ends.
  • Creation of corresponding small notches on the lateral orbital rim to receive these triangles.
  • Fixation of the triangles into the notches to secure the advanced supraorbital bar.

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Main Results:

  • The modified technique was applied to 15 patients with craniofacial anomalies.
  • The triangular fixation provided rigid stability, preventing supraorbital bar sliding and subsequent relapse.
  • No additional grafts were required for fixation, simplifying the procedure.

Conclusions:

  • The presented supraorbital bar osteotomy modification offers a rigid and reliable fixation method.
  • This technique effectively prevents relapse in craniofacial reconstructions without the need for grafts.
  • It represents a valuable advancement for surgeons performing supraorbital bar advancements.