title: Orbital rim and malar advancement for unilateral coronal synostosis in the older pediatric age group.
abstract: The authors describe a technique for lateral orbital rim and malar advancement in patients in the older pediatric age group. The technique makes use of a strip craniotomy containing the supraorbital margin, greater sphenoid wing, and temporal bone, with en bloc inclusion of the lateral orbital rim, zygoma, and malar prominence. The method allows a contoured yet stable construction secured in a tongue-in-groove fashion with plate-and-screw fixation. It creates a symmetrical reconstruction of both frontal and lateral orbital aspects in the untreated or inadequately treated older plagiocephalic child with orbital dystopia. The accompanying malar recession is likewise corrected.
authors.affiliation: Department of Clinical Neurological Sciences (Division of Neurosurgery), Victoria Hospital, University of Western Ontario, London, Canada.
authors.forename: K
authors.initials: K
authors.lastname: Elisevich
authors.forename: U
authors.initials: U
authors.lastname: Bite
authors.forename: R G
authors.initials: RG
authors.lastname: Colcleugh
mesh_terms: D000293:Adolescent; D000328:Adult; D000375:Aging; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007432:Intraoperative Period; D009915:Orbit / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010781:Photography; D011183:Postoperative Complications; D011184:Postoperative Period; D012086:Reoperation; D012886:Skull / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013580:Synostosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D015050:Zygoma / Q000000981:diagnostic imaging / Q000601:surgery*