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Updated: Sep 21, 2026
Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
Published on: May 23, 2020
New perspectives in the management of severe cranio-facial deformity
Insights
Early surgical intervention for craniosynostosis can restore normal cranial growth. This approach also benefits frontonasal encephaloceles, while acquired craniofacial trauma shows improved outcomes with multidisciplinary care.
Area of Science:
- Craniofacial Surgery
- Pediatric Neurosurgery
- Developmental Biology
Background:
- Craniosynostosis is linked to cranial capsule growth abnormalities.
- Early intervention is crucial for balancing brain/eye growth with cranial capsule development.
- Cranial clefts and frontonasal encephaloceles have distinct responses to surgical timing.
Purpose of the Study:
- To explore optimal surgical timing for craniosynostosis.
- To investigate the impact of early intervention on cranial clefts and frontonasal encephaloceles.
- To assess advancements in treating acute craniofacial trauma.
Main Methods:
- Analysis of operative treatment periods for craniosynostosis (early, intermediate, late).
- Evaluation of surgical outcomes for frontonasal encephaloceles and cranial clefts.
- Application of multidisciplinary approaches and advanced surgical techniques for craniofacial trauma.
Main Results:
- Early surgical release of stenosed cranial segments can normalize growth dynamics.
- Early removal of frontonasal encephaloceles aids facial bone repositioning; cranial clefts do not remould.
- Multidisciplinary care and advanced techniques significantly reduce hospitalization for acute craniofacial trauma.
Conclusions:
- Optimal timing for craniosynostosis surgery is critical for restoring normal growth.
- Early intervention strategies differ for congenital and acquired craniofacial conditions.
- Integrated surgical and multidisciplinary care enhances outcomes for complex craniofacial deformities.
Abstract:
It is postulated that craniosynostosis is due to a growth abnormality in all or part of the cranial capsule. Release of the stenosed part in the first months of life will re-establish the balance between the rapidly growing brain and eye, and the cranial capsule. Three periods for operative treatment are described: early, intermediate and late. Only in the early period can operative treatment restore normal growth dynamics; in the late period the aim is correction of an established deformity. The relationship between cranial clefts and frontonasal encephaloceles is explored. If the space-occupying encephalocele is removed early, the distorted facial bones adopt a more normal position, whereas cranial clefts do not respond to early operation by remoulding. The treatment of the acquired deformities of acute cranio-facial trauma have taken on new perspectives with the application of the multi-disciplinary approach and surgical techniques developed in the treatment of congenital deformities resulting in considerable reduction in the period of hospitalisation.
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