Operative treatment of coronal craniosynostosis: 20 years of experience.
BACKGROUND
To investigate the effect on and risk in coronal synostosis surgery of fronto-orbital advancement.


METHODS
One hundred sixty-five cases of coronal synostosis were retrospectively reviewed, including their clinical manifestations, computed tomography scans, operations, operative complications, and follow-up results.


RESULTS
Of the 165 cases, 111 were male and 54 were female, with a mean age of 12.1 months. Unilateral coronal synostosis was encountered in 38 cases and bilateral in 127, 45 of which were accompanied by Crouzon syndrome. All cases underwent fronto-orbital advancement. After the operation, 1 patient died from intracranial hemorrhage and 5 developed craniospinal fluid leak. No reoperation was necessary for coronal synostosis relapse in a follow-up study from 3 months to 5 years.


CONCLUSIONS
Fronto-orbital advancement is an effective and safe technique for coronal synostosis. However, longer follow-up is required to rectify the final functional and aesthetic results of craniofacial architecture.
Department of Neurosurgery, Ninth People's Hospital Affiliated, Shanghai Jiaotong University, 200011, Shanghai, People's Republic of China. gzlysr@126.com
Zhilin
Z
Guo
Meixiu
M
Ding
Xiongzhen
X
Mu
Ruopin
R
Chen
D002675:Child, Preschool; D015331:Cohort Studies; D003398:Craniosynostoses / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019635:Neurosurgical Procedures; D019857:Osteogenesis, Distraction; D010027:Osteotomy; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome