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Related Experiment Videos

Problems with lateral canthal advancement.

J Mühling, J Reuther, N Sörensen

    Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
    |January 1, 1986
    PubMed
    Summary
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    Lateral canthal advancement for premature coronal craniosynostosis can cause aesthetic issues in patients with high intracranial pressure. Secondary correction using bilateral advancement improved outcomes by increasing intracranial volume.

    Area of Science:

    • Craniofacial surgery
    • Pediatric neurosurgery
    • Plastic surgery

    Background:

    • Premature coronal craniosynostosis can lead to increased intracranial pressure and aesthetic deformities.
    • Lateral canthal advancement is a surgical technique used for treatment.
    • Postoperative aesthetic complications have been observed, particularly in patients with elevated intracranial pressure.

    Purpose of the Study:

    • To evaluate the effectiveness of lateral canthal advancement in treating premature coronal craniosynostosis.
    • To investigate aesthetic complications associated with the procedure.
    • To assess the efficacy of secondary correction techniques for managing these complications.

    Main Methods:

    • The study involved 12 cases of premature coronal craniosynostosis treated with lateral canthal advancement.

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  • Patients experiencing aesthetic problems and forward brain bulging were identified.
  • Secondary correction utilized the bilateral advancement technique of Marchac and Renier, involving complete osteotomy of the skull base and miniplate osteosynthesis for stabilization.

    • Main Results:

    • Initial lateral canthal advancement resulted in aesthetic problems and lack of reossification in the frontolateral area, with brain protrusion in some cases.
    • Secondary correction with bilateral advancement achieved a sufficient increase in intracranial volume.
    • Miniplate osteosynthesis provided stable fixation of bone segments, leading to improved aesthetic and functional outcomes.

    Conclusions:

    • Lateral canthal advancement alone may lead to undesirable aesthetic outcomes in certain patients with craniosynostosis.
    • Bilateral advancement, including complete skull base osteotomy and miniplate fixation, offers an effective secondary correction strategy.
    • This approach successfully addresses increased intracranial volume and improves aesthetic results in complex cases.