Results of extended craniectomy including supraorbital advancement in premature coronal and frontal craniosynostosis.
Between 1982-1989 an extended craniectomy including supraorbital advancement was performed in 27 infants. Age ranged from 2.5 to 10 months (median 4.5 months). Six had a premature synostosis of the frontal suture, 11 a monolateral synostosis of the coronal suture and 10 a bilateral coronal synostosis. Eighty per cent had an excellent or good result. The amount of remodelling, as measured by the orbital roof angle, showed a tendency to normalisation of the anterior fossa in the lateral projection 3-4.5 months following surgery. In some of the infants the neurological signs and psychomotor development were ameliorated by the operation. But, in monolateral cases of coronal synostoses a squint of various types was observed more frequently.
Chirurgische Universitäts-Kinderklinik, Inselspital Bern.
G
G
Kaiser
M
M
Bittel
D003394:Craniofacial Dysostosis / Q000150:complications / Q000601:surgery; D003398:Craniosynostoses / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012886:Skull / Q000002:abnormalities / Q000601:surgery