From midface distraction to the "true monoblock".

Full Abstract

In treating craniosynostosis, during the past 2 decades it has become accepted practice to perform fronto-orbital advancement and delay midfacial surgery. Corneal exposure,associated airway difficulties, and psychosocial problems remained untreated in these patients. Distraction osteogenesis assisted endoscopically offers an alternative treatment for patients with craniosynostosis, with the possibility of early midfacial surgery and simultaneous correction of the orbital-frontal deformity. The major benefit of gradual distraction is that it allows the surgeon to overcome the resistance of the overlying soft tissue envelope and offers the option of displacing the skeletal framework over greater distances, thus avoiding bone grafting. The technique also reduces morbidity and produces an improvement in form and function.

Author information

Author/s: Molina, Fernando (F);

Affiliation: Department of Plastic and Reconstructive Surgery, Post-Graduate Division of the Medical School, Universidad Nacional Autonoma de Mexico, Mexico City.

Journal and publication information

Publication Type: Journal Article

Journal: Clinics in plastic surgery (Clin Plast Surg), published in United States. (Language: eng)

Reference: 2004-Jul; vol 31 (issue 3) : pp 463-79, vii

Dates: Created 2004/06/28; Completed 2004/09/27; Revised 2004/11/17;

PMID: 15219752, status: MEDLINE (last retrieved date: 2/18/2009)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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