Craniosynostosis: Monobloc Distraction with Internal Device and Its Variant for Infants with Severe Syndromic Craniosynostosis.

The introduction of distraction osteogenesis to frontofacial monobloc advancement has increased the safety of the procedure. One hundred forty-seven patients with syndromic craniosynostosis underwent frontofacial monobloc advancement using 4 internal distractors. Twenty-five were aged 18 months or less. Ten patients presented with a tracheostomy, 5 (50%) were decannulated after surgery, and 3 others (30%) required an additional intervention before decannulation. Six patients required the addition of a transfacial pin and external traction. Very early frontofacial monobloc with 4 internal distractors is a safe and effective treatment to protect the ophthalmic, neurologic, and respiratory functions in infants with severe syndromic craniosynostosis.

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TitleCraniosynostosis: Monobloc Distraction with Internal Device and Its Variant for Infants with Severe Syndromic Craniosynostosis.
Date2021-07-01
Issue nameClinics in plastic surgery
Issue numberv48.3:497-506
DOI10.1016/j.cps.2021.02.008
PubMed34051901
AuthorsPaternoster G, Haber SE, Khonsari RH, James S & Arnaud E
KeywordsCraniofacial dysostosis, Distraction osteogenesis, Exorbitism, Faciocraniosynostosis, Frontofacial monobloc advancement, Sleep apnea, Syndromic craniosynostosis, Tracheostomy
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