Craniofacial distraction osteogenesis en bloc

The Journal of Craniofacial Surgery
E NadalG Zuccaro

Abstract

Bone distraction of the superior and medial thirds of the craniofacial skeleton en bloc, avoiding a frontal craniectomy is presented. We applied this procedure in eight patients who were more than 5 years old with different types of craniofacial synostosis and who had not received previous treatment, and with a normal frontal shape. During monobloc advancement, major complications were encountered in older patients, especially the impossibility of the brain to expand rapidly to fill the retrofrontal dead space. Distraction osteogenesis of the craniofacial skeleton en bloc (without craniectomy) is feasible. Miniplates and screws are avoided as well as the possibility of frontal relapse or fractures of the frontozygomatic region. The patients did not need skull vault remodeling, except for a small cranioplasty at the bregma zone. The results obtained were satisfactory and stable at the time. This procedure avoids any kind of osteosynthesis, there is no extradural dead space, the operative time is brief, and blood loss is minimal. The inconvenience is the necessity of a second operation to remove the distractor.

Citations

Oct 21, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Seong-Woong KimDong-Seok Kim
Sep 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Javier Esparza, José Hinojosa
Mar 26, 2004·Revue de stomatologie et de chirurgie maxillo-faciale·E ArnaudD Renier
May 19, 2001·The Journal of Craniofacial Surgery·J RiegerB Audet
Jul 18, 2003·The Journal of Craniofacial Surgery·Yoshiyuki YoneharaKiyonori Harii
Nov 18, 2004·The Journal of Craniofacial Surgery·Torstein R MelingKjartan Arctander
Jun 14, 2006·The Journal of Craniofacial Surgery·Jaiho Chung, Soo Han Yoon
May 7, 2002·Journal of Neurosurgery·Keisuke ImaiTakuya Fujimoto
Nov 27, 2010·International Journal of Oral and Maxillofacial Surgery·T R MelingP Skjelbred
Mar 17, 2010·The British Journal of Oral & Maxillofacial Surgery·Torstein R MelingPer Skjelbred
Oct 19, 2016·Annales de chirurgie plastique et esthétique·E ArnaudP Meyer
Dec 2, 2017·The Journal of Craniofacial Surgery·Rebecca KnackstedtAntonio Rampazzo
Sep 7, 2007·Plastic and Reconstructive Surgery·Eric ArnaudDominique Renier

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