Abandoning the Supraorbital Bandeau in Anterior Craniosynostosis Repairs, for a Single-Segment Reconstruction

Plastic and Reconstructive Surgery
Jeffrey A FearonMorley Herbert

Abstract

Following correction of anterior sutural fusions, long-term forehead irregularities may arise. Based on the premise that frontal reconstructions using a seamless construct might produce better long-term aesthetic results, the supraorbital bandeau was abandoned for a single-piece frontal reconstruction. The purpose of this review was to compare outcomes and complications between children who underwent reconstruction with the traditional supraorbital bandeau and those who underwent reconstruction with a single bony segment. A retrospective sequential chart review was performed of all children undergoing anterior sutural fusion repairs to compare supraorbital bandeau to single-segment reconstructions. Length of surgery, blood loss, hospital stay, and complications were assessed. Aesthetic outcomes and reoperation rates were also examined. Over 10 years, 199 patients with anterior sutural fusions underwent correction: 124 with a single-piece frontal reconstruction and 75 with traditional supraorbital bandeaus. Outcome analyses revealed no significant differences between techniques with respect to blood loss, surgical times, complication rates, and hospital length of stay. A preliminary analysis suggested lower reoperation rates (0 ...Continue Reading

References

Jun 1, 1978·Plastic and Reconstructive Surgery·D Marchac
Jan 1, 1988·British Journal of Plastic Surgery·D MarchacB M Jones
Jan 1, 1994·Plastic and Reconstructive Surgery·I R Munro, J A Fearon
Feb 8, 2006·Plastic and Reconstructive Surgery·Jeffrey A FearonJohn C Kolar
Mar 10, 2006·Plastic and Reconstructive Surgery·Devra B BeckerAlex A Kane
Jul 25, 2008·The Journal of Craniofacial Surgery·Jeffrey A Fearon
Feb 3, 2009·Plastic and Reconstructive Surgery·Jeffrey A FearonJohn C Kolar
Feb 12, 2011·Plastic and Reconstructive Surgery·Mitchel SeruyaRobert F Keating
Mar 15, 2011·Plastic and Reconstructive Surgery·Derek M SteinbacherScott P Bartlett

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Citations

Dec 21, 2019·Plastic and Reconstructive Surgery·Jeffrey A FearonMorley Herbert
Jan 16, 2021·Annals of Plastic Surgery·Anthony A BertrandJustine C Lee
Mar 18, 2020·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Jebrane BouaoudRoman H Khonsari

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