Article
Long term results of fronto-orbital advancemet in Trigonocephaly and in unilateral coronal synostosis
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Published: | March 21, 2014 |
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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.