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[Early surgical management of fronto-orbital retrusion in craniosynostosis]
1Department of Oral and Maxillofacial Surgery, College of Stomatology, The Fourth Military Medical University, Xi'an 710032, China. bobin@fmmu.edu.cn
Insights
Early surgical correction using fronto-orbital osteotomies and advancement effectively treats fronto-orbital retrusion in craniosynostosis. This technique showed successful outcomes with no complications in young patients.
Area of Science:
- Craniofacial Surgery
- Pediatric Neurosurgery
- Plastic Surgery
Context:
- Craniosynostosis involves premature fusion of skull sutures, leading to abnormal head shape and potential developmental issues.
- Fronto-orbital retrusion is a common and significant deformity in syndromic and non-syndromic craniosynostosis.
- Early intervention is crucial for optimal aesthetic and functional outcomes in affected children.
Purpose:
- To evaluate the efficacy of early surgical techniques for correcting fronto-orbital retrusion in infants with craniosynostosis.
- To describe operative methods including "C" fronto-orbital osteotomies and advancement, and frontal reshaping.
- To assess the safety and outcomes of these procedures in a cohort of young patients.
Summary:
- Ten infants (6-9 months) with various craniosynostosis types underwent surgical correction for fronto-orbital retrusion.
- Procedures included "C" fronto-orbital osteotomies and advancement, and frontal radial osteotomies with remolding.
- All patients achieved correction of fronto-orbital deformities with no reported complications, and 8 cases showed sustained positive results at 3-11 months follow-up.
Impact:
- Demonstrates the effectiveness of specific surgical techniques in addressing fronto-orbital retrusion in craniosynostosis.
- Provides evidence for the safety and positive short-term outcomes of early surgical intervention.
- Offers valuable insights for craniofacial surgeons managing pediatric craniosynostosis patients.
Objective:
To discuss the early surgical treatment of fronto-orbital retrusion in craniosynostosis.
Methods:
Operative techniques including "C" fronto-orbital osteotomies and advancement, frontal radially oriented osteotomies and remoulding were performed to correct the fronto-orbital retrusion. Ten patients aged from 6-9 months were included. There were two metopic synostosis, three unilateral coronal synostosis, three bilateral coronal synostosis, one Apert syndromic synostosis and one Crouzon syndromic synostosis.
Results:
Fronto-orbital deformities of all patients were corrected. There were no complications happened in these patients. The post-operation results were kept well for 3-11 months follow-up in 8 cases.
Conclusions:
Fronto-orbital osteotomies and advancement and frontal reshaping were effective to correct fronto-orbital retrusion in craniosynostosis.
