Simultaneous multiple vector distraction for craniosynostosis syndromes.
Syndromic craniosynostoses are commonly treated conditions in craniofacial units. The features of the common syndromes (Apert, Pfeiffer and Crouzon) all include craniosynostosis, mid-face hypoplasia and ocular proptosis. The craniofacial management of a child with these syndromes through to adulthood may require a number of surgical interventions to allow brain development, to provide an adequate airway, to prevent corneal ulceration and to provide a functional dental occlusion. The management of these different priorities into timed interventions in our unit is determined by established protocols. We report two cases that underwent simultaneous mid-face (Le Fort III) and fronto-orbital osteotomies followed by distraction but using different vectors to advance the upper and mid-face regions (to achieve all treatment goals) in a 12-year-old boy and a 16-year-old girl.
Anderson
Peter J
PJ
Australian Craniofacial Unit, Women's and Children's Hospital, 72 King William Street, Adelaide, SA 5006, South Australia. haemro2@hotmail.com
Tan
Eugene
E
David
David J
DJ
D000168:Acrocephalosyndactylia / Q000000981:diagnostic imaging / Q000601:surgery; D000293:Adolescent; D002648:Child; D003398:Craniosynostoses / Q000000981:diagnostic imaging / Q000601:surgery*; D016267:External Fixators; D019066:Facies; D005260:Female; D006801:Humans; D008297:Male; D019857:Osteogenesis, Distraction / Q000379:methods*; D010027:Osteotomy / Q000379:methods; D019340:Osteotomy, Le Fort / Q000379:methods; D011859:Radiography