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08:01
Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
Correcting the typical Apert face: combining bipartition with monobloc distraction
Aina V H Greig1, Jonathan A Britto, Christopher Abela
1London, United Kingdom From the Department of Craniofacial Surgery, Great Ormond Street Hospital, and Cavendish Imaging.
Plastic and Reconstructive Surgery
|January 30, 2013
Summary
Bipartition distraction effectively corrects midface hypoplasia in Apert syndrome, improving facial aesthetics and function. This novel procedure offers significant central facial advancement, enhancing outcomes for affected patients.
Area of Science:
- Craniofacial surgery
- Plastic surgery
- Pediatric surgery
Background:
- Apert syndrome and syndromic craniofacial dysostoses cause hypertelorism and midface hypoplasia.
- These conditions lead to characteristic facial deformities, including a biconcave face.
- Bipartition distraction is a new surgical technique to address these issues.
Purpose of the Study:
- To evaluate the efficacy of bipartition distraction in treating Apert syndrome.
- To assess both functional and aesthetic improvements after the procedure.
Main Methods:
- Twenty patients with Apert or Pfeiffer syndrome underwent bipartition distraction.
- Pre- and postoperative aesthetic severity was graded.
- Midface skeletal advancement and functional outcomes were measured.
Main Results:
- Consistent central facial advancement (mean 13.2 mm at sella-nasion) exceeded lateral advancement (mean 4.7 mm).
- Improved aesthetic appearance, airway function, eye exposure, and intracranial pressure were observed.
- Complications included CSF leaks, seizures, infections, and worsened strabismus.
Conclusions:
- Bipartition distraction is effective for differential central face advancement in Apert syndrome.
- The procedure enhances both functional and aesthetic outcomes.
- Careful patient selection and management are crucial due to potential complications.
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