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Updated: May 13, 2026

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model

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[The plastic surgery for plagiocephaly].

Bin Yang¹, Zhi-yong Zhang, Eric Arnaud

¹Maxillofacial Surgery Centre, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing.

Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery

|March 26, 2013

Summary

This summary is machine-generated.

Three surgical techniques effectively correct frontal plagiocephaly (unilateral coronal synostosis) using absorbable plates. Procedures yielded satisfactory results with no recurrence or developmental issues in a 1-2 year follow-up.

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Area of Science:

Craniofacial surgery
Pediatric plastic surgery

Background:

Frontal plagiocephaly, often due to unilateral coronal synostosis, requires surgical correction for optimal orbito-frontal development.
The 'floating forehead' principle guides reconstructive strategies for this condition.

Purpose of the Study:

To review and summarize three distinct surgical procedures for correcting frontal plagiocephaly.
To evaluate the efficacy and outcomes of these reconstructive techniques.

Main Methods:

Surgical correction involved orbito-frontal advancement, temporoparietal osteotomy, or fronto-parietal osteotomy.
Absorbable polylactide plates and microscrews were utilized for immobilizing calvarial segments.
A cohort of 9 patients with plagiocephaly underwent these procedures between January 2008 and December 2010.

Main Results:

All 9 cases of plagiocephaly were successfully treated with satisfactory aesthetic and functional outcomes.
Follow-up of 1-2 years revealed no recurrence of suture fusion or deformity.
No severe complications were reported, and brain development remained unrestricted.

Conclusions:

Orbito-frontal advancement, temporoparietal osteotomy, and fronto-parietal osteotomy are effective in correcting plagiocephaly and improving orbito-frontal appearance.
Long-term monitoring is essential to assess the impact of these reconstructive surgeries on mental, calvarial, and visual development.