Distraction Osteogenesis Versus Conventional Fronto-Orbital Advancement for the Treatment of Unilateral Coronal Synostosis: A Comparison of Perioperative Morbidity and Short-Term Outcomes

The Journal of Craniofacial Surgery
Youssef TahiriJesse A Taylor

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

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Dec 4, 2014·The Journal of Craniofacial Surgery·Youssef TahiriJesse A Taylor

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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
Mar 24, 2018·The Journal of Craniofacial Surgery·Jake AlfordJames M Smartt
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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
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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
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
Aug 24, 2021·Plastic and Reconstructive Surgery. Global Open·Xiaona LuJohn A Persing

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Methods Mentioned

BETA
dissection

Software Mentioned

STATA
GraphPad Prism

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