title: The bowstring canthal advancement: a new technique to correct the flattened supraorbital rim in unilateral coronal synostosis.
abstract: Patients with unilateral coronal synostosis characteristically have a recessed and flattened supraorbital rim ipsilateral to the fused suture. Despite lateral canthal advancement procedures to correct these anomalies, patients often have a persistent flattened and recessed supraorbital rim after surgery. Current procedures address the pathologic features of the orbital rim only partially by advancing forward a deformed supraorbital rim without correcting the abnormal flattening of the normal rim curvature. The authors describe a technique modification of the supraorbital rim advancement procedure that addresses not only the lack of anterior positioning of it, but also its flattened contour: the bowstring canthal advancement.
authors.affiliation: Section of Plastic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
authors.forename: Bianca I
authors.initials: BI
authors.lastname: Knoll
authors.forename: Joseph
authors.initials: J
authors.lastname: Shin
authors.forename: John A
authors.initials: JA
authors.lastname: Persing
mesh_terms: D003398:Craniosynostoses / Q000150:complications*; D006801:Humans; D007223:Infant; D009915:Orbit / Q000002:abnormalities* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*