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Frontal-orbital advancement for the management of anterior plagiocephaly
Hamilton Matushita1, Nivaldo Alonso, Daniel Dante Cardeal
1Pediatric Neurosurgery Division, Department of Neurosurgery, University of São Paulo School of Medicine, São Paulo, São Paulo, Brazil. matushita@uol.com.br
Purposes:
The main purposes of this manuscript are to provide an overview of various modalities of surgical correction of anterior plagiocephaly and to emphasize their differences with the classic open frontal-orbital advancement.
Methods And Results:
Advancement of technology provides development of many other ways to achieve the same results. The authors describe the classic open frontal-orbital advancement and compare with other proposed techniques for correction of frontal plagiocephaly. The main limitation of the use of new forms of treatment of the anterior plagiocephaly is the age of the patient. There is still no consensus on criteria for quantitative evaluation of surgical results, and new forms of treatment do not present results with long follow-up.
Conclusion:
Frontal-orbital advancement is the preferred procedure to correct unicoronal synostosis due to its universal indication regardless of the age and degree of deformation of the anterior plagiocephaly.
