Abstract
Fronto-orbital advancement and remodeling (FOAR) remains the most widely practiced treatment of unicoronal craniosynostosis (UCS) despite recent studies of ocular dysfunction and aesthetic shortcomings in the long-term. The aim of the study was to compare perioperative morbidity and short-term outcomes of a recently developed, nondevascularizing, distraction-based treatment of UCS with conventional FOAR. To do so, the authors compared the first 6 patients who were treated with a new osteotomy/distraction approach to the last 6 patients who underwent traditional FOAR for the treatment of UCS with regards to demographics, operative details, perioperative morbidity, and short-term outcomes.Between July 2012 and June 2014, 6 patients underwent each procedure. Duration of surgery and length of hospital stay in the distraction group were on average 2 hours 7 minutes and 3.4 days, respectively, significantly less than in the traditional FOAR group (P = 0.039, P = 0.032, respectively). Perioperative blood loss averaged 169 mL, which trended toward less than in the traditional group (mean of 400 mL, P = 0.065). Patients undergoing conventional compared with distraction osteogenesis-mediated FOAR were significantly more likely to develop...Continue Reading
References
May 1, 1990·Plastic and Reconstructive Surgery·S P BartlettD Marchac
Jan 1, 1988·British Journal of Plastic Surgery·I T JacksonM Adham
May 1, 1996·The Journal of Craniofacial Surgery·L R DavidL C Argenta
Jun 8, 2001·Plastic and Reconstructive Surgery·J G McCarthyM T Longaker
Sep 27, 2001·The Journal of Craniofacial Surgery·A LoskenC Simms
Apr 1, 1960·The Anatomical Record·M L MOSS
Jan 1, 1959·Acta Anatomica·M L MOSS
Sep 25, 2003·Surgical and Radiologic Anatomy : SRA·G CaptierP Montoya
Jun 24, 2004·The Journal of Craniofacial Surgery·Kyung Suck KohYoung Sin Ra
Nov 18, 2004·The Journal of Craniofacial Surgery·Torstein R MelingKjartan Arctander
Feb 9, 2005·The Journal of Craniofacial Surgery·Peter J Anderson, David J David
Apr 30, 2005·Plastic and Reconstructive Surgery·Jeffrey A Fearon
May 21, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·James Tait Goodrich
May 26, 2005·The Journal of Craniofacial Surgery·Bianca I KnollJohn A Persing
Jun 25, 2005·The Anatomical Record. Part A, Discoveries in Molecular, Cellular, and Evolutionary Biology·Kristina AldridgeJoan T Richtsmeier
Aug 5, 2005·Plastic and Reconstructive Surgery·Devra B BeckerJeffrey L Marsh
Dec 6, 2005·The Journal of Craniofacial Surgery·James E BaumgartnerJames J Xia
Sep 3, 2010·Plastic and Reconstructive Surgery·Jong Woo ChoiKyung S Koh
Dec 3, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Willy S SerloGeorge K B Sàndor
Nov 19, 2011·International Journal of Oral and Maxillofacial Surgery·E W-C KoC S Huang
Mar 17, 2012·The Journal of Craniofacial Surgery·Matthew ChoiRobert J Havlik
May 30, 2013·Plastic and Reconstructive Surgery·Jesse A GoldsteinJesse A Taylor
May 9, 2014·Plastic and Reconstructive Surgery·Peter W HashimJohn A Persing
Jul 17, 2014·Plastic and Reconstructive Surgery·Jesse A TaylorGreg G Heuer
Oct 31, 2014·Plastic and Reconstructive Surgery·Anup PatelJohn A Persing
Nov 11, 2014·Seminars in Plastic Surgery·Youssef Tahiri, Jesse Taylor
Dec 4, 2014·The Journal of Craniofacial Surgery·Youssef TahiriJesse A Taylor
Dec 6, 2014·The Journal of Craniofacial Surgery·Kaitlyn Marie PaineJesse A Taylor
Dec 30, 2014·Plastic and Reconstructive Surgery·Jesse A TaylorScott P Bartlett
Citations
Jun 28, 2017·Plastic and Reconstructive Surgery·Youssef TahiriMirko S Gilardino
Jul 1, 2017·The Journal of Craniofacial Surgery·Michael R BykowskiJoseph E Losee
Feb 7, 2018·Pediatric Neurosurgery·Tarek Elbanoby
Oct 19, 2017·The Journal of Craniofacial Surgery·Alessandro BorghiDavid Dunaway
Mar 24, 2018·The Journal of Craniofacial Surgery·Jake AlfordJames M Smartt
Apr 30, 2016·Plastic and Reconstructive Surgery·Gerhard S MundingerAmir H Dorafshar
Sep 7, 2018·Plastic and Reconstructive Surgery·Michael G BrandelAmanda A Gosman
Dec 7, 2018·The Journal of Craniofacial Surgery·Stephan Barrientos, Jason Miller
Jan 15, 2019·The Journal of Craniofacial Surgery·Katelyn G BennettSteven R Buchman
May 27, 2016·Journal of Korean Neurosurgical Society·Akira GomiYasushi Sugawara
Mar 1, 2018·Annals of Plastic Surgery·Michael G BrandelAmanda A Gosman
Sep 25, 2017·The Journal of Craniofacial Surgery·Koji KawamotoKeisuke Imai
May 28, 2020·Plastic and Reconstructive Surgery·Richard A HopperGökhan Tunçbilek
Dec 15, 2018·The Journal of Craniofacial Surgery·Joseph P CorkumMichael Bezuhly
Sep 21, 2016·The Journal of Craniofacial Surgery·John R GencarelliMichael Bezuhly
Jan 25, 2020·The Journal of Craniofacial Surgery·Selim BozkurtSilvia Schievano
Nov 30, 2018·Plastic and Reconstructive Surgery·Derek M Steinbacher
May 21, 2019·Plastic Surgery·Adam J MosaChristopher R Forrest
Feb 2, 2021·Facial Plastic Surgery : FPS·Andrew M FerryEdward P Buchanan
Jan 5, 2021·The Journal of Craniofacial Surgery·Jacob VeithBarbu Gociman
Dec 12, 2020·The Journal of Craniofacial Surgery·Anna R Carlson, Jesse A Taylor
Apr 10, 2021·Annals of Plastic Surgery·Ryan M McKeeAmanda A Gosman
May 14, 2021·BMJ Open Ophthalmology·Evangelia NtoulaEva Larsson
Aug 24, 2021·Plastic and Reconstructive Surgery. Global Open·Xiaona LuJohn A Persing
Sep 29, 2021·The Journal of Craniofacial Surgery·Zachary D ZapateroJordan W Swanson
Jun 1, 2021·The Journal of Craniofacial Surgery·Ian C Hoppe, Jesse A Taylor
Jun 1, 2021·The Journal of Craniofacial Surgery·Florian DalmasGrégoire Pech-Gourg
Jul 1, 2021·The Journal of Craniofacial Surgery·George N KamelAmanda A Gosman