title: Long-term results after lateral canthal advancement for unilateral coronal synostosis.
abstract: The procedure of lateral canthal advancement was carried out to correct unilateral coronal synostosis in 39 consecutive patients at The Hospital for Sick Children during a 20-year period. Thirty-seven children were available for follow-up study, and results were considered to be good or excellent in 81% of them. Liberation of the supraorbital margin and release of stenotic skull base sutures are crucial for a successful result. The severity of the process and the age of the patient were not restrictive factors in regard to indication for this procedure. Some patients showed a continuous improvement with time. Morbidity was minimal. It is suggested that lateral canthal advancement is the procedure of choice for unilateral coronal synostosis.
authors.affiliation: Department of Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: H R
authors.initials: HR
authors.lastname: Machado
authors.forename: H J
authors.initials: HJ
authors.lastname: Hoffman
mesh_terms: D002648:Child; D002675:Child, Preschool; D003398:Craniosynostoses / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D009915:Orbit / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed