title: Gradual bone distraction in craniosynostosis. Preliminary results in seven cases.
abstract: Seven patients with craniosynostosis (mean age 8 years, Apert syndrome, n = 4, Crouzon's disease, n = 3) underwent lengthening of the skull by gradual bone distraction. Three patients (group A) were treated by coronal craniectomy reaching the orbital fissure and gradual bone distraction. The other four (group B) underwent monobloc craniofacial disjunction and gradual bone distraction. The patients' progress was monitored clinically as well as by radiographs and photographs. The results showed that craniofacial disjunction followed by gradual bone distraction produced complete correction of exophthalmus and an improvement in the functional and aesthetic aspects of the middle third of the face without the need for bone grafts.
authors.affiliation: Surgery Department, Plastic Surgery, School of Medicine, State University of Campinas (UNICAMP), Brazil.
authors.forename: C M
authors.initials: CM
authors.lastname: do Amaral
authors.forename: G
authors.initials: G
authors.lastname: Di Domizio
authors.forename: V
authors.initials: V
authors.lastname: Tiziani
authors.forename: F
authors.initials: F
authors.lastname: Galhardi
authors.forename: C L
authors.initials: CL
authors.lastname: Buzzo
authors.forename: T
authors.initials: T
authors.lastname: Rinco
authors.forename: P
authors.initials: P
authors.lastname: Kharmandayan
authors.forename: M A
authors.initials: MA
authors.lastname: Bueno
authors.forename: N
authors.initials: N
authors.lastname: Bolzani
authors.forename: R M
authors.initials: RM
authors.lastname: Sabbatini
authors.forename: L D
authors.initials: LD
authors.lastname: Lopes
authors.forename: P F
authors.initials: PF
authors.lastname: Lopes
authors.forename: B
authors.initials: B
authors.lastname: Paiva
authors.forename: R M
authors.initials: RM
authors.lastname: Paiva
authors.forename: L A
authors.initials: LA
authors.lastname: Turchiari
mesh_terms: D000168:Acrocephalosyndactylia / Q000601:surgery; D001852:Bone Lengthening; D002508:Cephalometry; D002648:Child; D003398:Craniosynostoses / Q000150:complications / Q000601:surgery*; D005094:Exophthalmos / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D016896:Treatment Outcome