Fronto-orbital advancement: Revisited

• Main Authors: Derick Mendonca, Somashekar Gejje, Nitin Kaladagi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Journal of Cleft Lip Palate and Craniofacial Anomalies
• Subjects: calvarial vault reconstruction; craniosynostosis; fronto-orbital advancement
• Online Access: http://www.jclpca.org/article.asp?issn=2348-2125;year=2015;volume=2;issue=1;spage=20;epage=26;aulast=Mendonca

Introduction: Craniosynostosis is a pathologic condition resulting from the premature fusion of cranial vault sutures, resulting in craniofacial deformities. Anterior craniosynostosis can involve a combination of metopic/unicoronal or bicoronal sutures. Aims and Objectives: Fronto-orbital advancement (FOA) is the standard surgical treatment. This article attempts to highlight the importance of modifying the osteotomies and reshaping of the cranial vault based on individual requirements to achieve the best possible result. Method and Results: Three consecutive cases of anterior craniosynostosis (metopic with unicoronal, unicoronal with sphenoethmoidal, bicoronal) with individual modifications of the technique used in each case are presented. Conclusion : FOA has to be tailored for each variant of anterior craniosynostosis and its requirements. The Technical variations can be applied to any combination of anterior craniosynostosis.