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Apert Syndrome: Selection Rationale for Midface Advancement Technique.
Cassio Eduardo Raposo-Amaral1,2, Enrico Ghizoni1,2, Cesar Augusto Raposo-Amaral1
1Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, São Paulo, Brazil.
Advances and Technical Standards in Neurosurgery
|June 15, 2023
Summary
This review discusses midface advancement techniques for Apert syndrome, offering a grading system to match procedures with craniofacial features for optimal surgical outcomes in patients.
Area of Science:
- Craniofacial surgery
- Plastic surgery
- Pediatric neurosurgery
Background:
- Apert syndrome presents diverse craniofacial features.
- Midface advancement techniques are crucial for treating these features.
- Selecting the appropriate technique is vital for successful outcomes.
Approach:
- This review details the rationale for selecting midface advancement techniques.
- It analyzes common craniofacial characteristics in Apert syndrome.
- A grading system is proposed to stratify technique effects.
Key Points:
- Craniofacial plastic surgeons and pediatric neurosurgeons collaborate to assess functional and morphologic issues.
- Technique selection should be based on specific patient characteristics.
- Understanding the long-term skeletal effects of osteotomies is essential.
Conclusions:
- A customized approach to midface advancement yields the best results for Apert syndrome patients.
- The proposed grading system aids in stratifying technique efficacy.
- Tailoring surgical procedures ensures optimal functional and aesthetic outcomes.
