title: Simultaneous fronto-orbital advancement and dynamic posterior cranial vault expansion in Apert syndrome.
abstract: Craniosynostosis in Apert syndrome is routinely treated by wide frontal and bilateral supraorbital reshaping and posterior cranial decompression. Dynamic cranial vault expansion has proved to be useful in craniofacial surgery, and its use has extended to syndromic patients. Although a controversy remains between conventional osteotomy and application of the spring-mediated technique in surgical treatment of craniosynostosis, there have been several positive clinical reports on expansion techniques for nonsyndromic and syndromic craniosynostosis. Simultaneous fronto-orbital advancement and posterior cranial vault expansion have been applied successfully to 2 patients of Apert syndrome, without intraoperative complications or postoperative morbidity and improving final cranial shape.
authors.affiliation: Hospital de Pediatría SAMIC Prof Dr Juan P. Garrahan, Buenos Aires, Argentina. emmanuelanadal@gmail.com
authors.forename: Emmanuela
authors.initials: E
authors.lastname: Nadal-López
authors.forename: Javier
authors.initials: J
authors.lastname: Gonzalez-Ramos
authors.forename: Pedro Luis
authors.initials: PL
authors.lastname: Dogliotti
authors.forename: Carlos
authors.initials: C
authors.lastname: Routabul
authors.forename: Graciela
authors.initials: G
authors.lastname: Zuccaro
mesh_terms: D020341:Absorbable Implants; D000168:Acrocephalosyndactylia / Q000601:surgery*; D001860:Bone Plates; D001864:Bone Wires; D003393:Cranial Sutures / Q000601:surgery; D003399:Craniotomy / Q000295:instrumentation / Q000379:methods; D005624:Frontal Bone / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D009777:Occipital Bone / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D010294:Parietal Bone / Q000601:surgery