gms | German Medical Science

131. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

25.03. - 28.03.2014, Berlin

Long term results of fronto-orbital advancemet in Trigonocephaly and in unilateral coronal synostosis

Meeting Abstract

  • Christian Freudlsperger - Universitätsklinikum Heidelberg, Klinik und Poliklinik für MKG-Chirurgie, Heidelberg
  • Gregor Castrillon-Oberndorfer - Universitätsklinikum Heidelberg, Klinik und Poliklinik für MKG-Chirurgie, Heidelberg
  • Jürgen Hoffmann - Universitätsklinikum Heidelberg, Klinik und Poliklinik für MKG-Chirurgie, Heidelberg
  • Michael Engel - Universitätsklinikum Heidelberg, Klinik und Poliklinik für MKG-Chirurgie, Heidelberg

Deutsche Gesellschaft für Chirurgie. 131. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 25.-28.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14dgch312

doi: 10.3205/14dgch312, urn:nbn:de:0183-14dgch3121

Veröffentlicht: 21. März 2014

© 2014 Freudlsperger et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Fronto-orbital advancement represents a well-established technique in craniofacial surgery, however, due to the low incidence of triogonocephaly and unilateral coronal synostosis, studies on long-term follow up are rare.

Material and methods: We analyzed 21 children with unilateral isolated coronal suture and 54 cases of isolated nonsyndromatic metopic synostosis who were all treated with an standardized surgical technique of fronto-orbital advancement with an average follow-up of 57.5 and 51.9 months, respectively.

Results: The median age at surgery was 12.1 and 11.5 months. The median average amount of blood loss during the operation was less than 188 and 255 ml. Not a single major complication was observed. According to the classification of Whitaker, 58 patients had a Class 1 outcome, with excellent surgical results. Thirteen patients were defined as class 2 outcome. One of our patients was Class 3 and 3 patients were Class 4.

Conclusion: As the current technique of fronto-orbital advancement has been standardized for routine use, surgical risks are reasonably low with no mortality or permanent morbidity. Trigonocephaly and unilateral coronal synostosis can be successfully treated by fronto-orbital advancement with an excellent clinical outcome in the long term follow-up.