Zhilin Guo1, Meixiu Ding, Xiongzhen Mu, Ruopin Chen. 1. Department of Neurosurgery, Ninth People's Hospital Affiliated, Shanghai Jiaotong University, 200011, Shanghai, People's Republic of China. gzlysr@126.com
Abstract
BACKGROUND: To investigate the effect on and risk in coronal synostosis surgery of fronto-orbital advancement. METHODS: One hundred sixty-five cases of coronal synostosis were retrospectively reviewed, including their clinical manifestations, computed tomography scans, operations, operative complications, and follow-up results. RESULTS: Of the 165 cases, 111 were male and 54 were female, with a mean age of 12.1 months. Unilateral coronal synostosis was encountered in 38 cases and bilateral in 127, 45 of which were accompanied by Crouzon syndrome. All cases underwent fronto-orbital advancement. After the operation, 1 patient died from intracranial hemorrhage and 5 developed craniospinal fluid leak. No reoperation was necessary for coronal synostosis relapse in a follow-up study from 3 months to 5 years. CONCLUSION: Fronto-orbital advancement is an effective and safe technique for coronal synostosis. However, longer follow-up is required to rectify the final functional and aesthetic results of craniofacial architecture.
BACKGROUND: To investigate the effect on and risk in coronal synostosis surgery of fronto-orbital advancement. METHODS: One hundred sixty-five cases of coronal synostosis were retrospectively reviewed, including their clinical manifestations, computed tomography scans, operations, operative complications, and follow-up results. RESULTS: Of the 165 cases, 111 were male and 54 were female, with a mean age of 12.1 months. Unilateral coronal synostosis was encountered in 38 cases and bilateral in 127, 45 of which were accompanied by Crouzon syndrome. All cases underwent fronto-orbital advancement. After the operation, 1 patient died from intracranial hemorrhage and 5 developed craniospinal fluid leak. No reoperation was necessary for coronal synostosis relapse in a follow-up study from 3 months to 5 years. CONCLUSION: Fronto-orbital advancement is an effective and safe technique for coronal synostosis. However, longer follow-up is required to rectify the final functional and aesthetic results of craniofacial architecture.
Authors: Cheryl A Hill; S Vaddi; Amanda Moffitt; A A Kane; Jeffrey L Marsh; Jayesh Panchal; Joan T Richtsmeier; Kristina Aldridge Journal: Cleft Palate Craniofac J Date: 2010-08-10
Authors: William X Z Liaw; William C H Parr; Tim S Peltz; Alex Varey; Jeremy Hunt; Mark Gianoutsos; Damian D Marucci; William Walsh Journal: Plast Reconstr Surg Glob Open Date: 2019-04-02