Frontofacial advancement by internal distraction devices. A technical modification for the management of craniofacial dysostosis in early childhood

Adolphs, Nicolai; Klein, Martin; Haberl, Ernst Johannes; Menneking, Horst; Hoffmeister, Bodo

doi:10.1016/j.ijom.2012.03.014

Cited by 7 publications

(2 citation statements)

References 20 publications

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“…FGFR2 molecular genetic testing may help specific diagnosis in questionable cases. Previous Crouzon syndrome surgery studies involved frontofacial monobloc advancement, Le Fort III osteotomy, and distraction osteogenesis (Kamoshima et al ; Nout et al ; Adolphs et al ). These procedures involve high surgical stress levels appropriate only for patients with severe disease.…”

Section: Introductionmentioning

confidence: 99%

High Le Fort I osteotomy for correction of mid‐face deformity in Crouzon syndrome

Nakajima

Nakano

Sumida

et al. 2016

Congenital Anomalies

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An 18-year-old woman with mild Crouzon syndrome was referred with malocclusion and mandibular protrusion. Examination revealed Class III canine and molar relationships, hypoplastic maxilla, 1-mm overbite, and -2-mm overjet. Analysis showed 69° sella-nasion-A, 73.6° sella-nasion-B, and -4.6° A point-nasion-B point angles. Polysomnography revealed respiratory disturbance and 6.3% oxygen desaturation indices of 5.4/h and 9.0/h. We performed double-jaw surgery using high Le Fort I osteotomy and bilateral sagittal split ramus osteotomy for midfacial deformity correction. Twelve months post-surgery, her measures were 70.8°, 72°, -1.2°, 3.0/h, and 6.1/h, respectively. Esthetics were satisfactory. High Le Fort I osteotomy is effective for midfacial deformity correction in patients with Crouzon syndrome.

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Section: Introductionmentioning

confidence: 99%

High Le Fort I osteotomy for correction of mid‐face deformity in Crouzon syndrome

Nakajima

Nakano

Sumida

et al. 2016

Congenital Anomalies

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“…A gold standard of reconstruction is simultaneous bifrontal craniotomy and Le-Fort IV osteotomy, application of distractors with further advancement of upper and midface as one unit. [ 3 4 5 6 7 8 9 ] Current progress in computers and biotechnologies allows improving surgical approach and forecasting final result of distraction as well. We present a case of surgical treatment of Crouzon syndrome, by application of virtual planning allowing determining “monobloc” features, type of cranioplasty and direction of internal distractors as well as advancement.…”

Section: Introductionmentioning

confidence: 99%

Crouzon syndrome: Virtual planning of surgical treatment by application of internal distractors

Rahimov

Asadov

Hajiyeva

et al. 2016

Ann Maxillofac Surg

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Crouzon syndrome is one of the frequent pathologies within craniosynostosis syndrome. Current progress in computers and biotechnologies allows improving surgical approach and forecasting final result of reconstruction as well. We present a case of successful surgical treatment of Crouzon syndrome, done by application of virtual planning allowing determining “monobloc” features, type of reconstruction and distraction protocol as well. A 20-year-old female had presented with craniofacial deformity. Clinical and radiological investigation revealed Crouzon syndrome. The “monobloc” creation, cranioplasty and internal distractors positioning, direction and schedule of advancement were done according to preoperative virtual planning data achieved by Materialise Mimics Research software. Nine months postoperative functional and esthetic result and radiological findings showed to be reasonable. That application of virtual simulation significantly allows to determine best direction of distraction and improves postoperative outcomes of surgical treatment of Crouzon syndrome.

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Kraniofaziale Chirurgie: State of the Art 2012

Adolphs

Haberl

2012

MKG-Chirurg

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Frontofacial advancement by internal distraction devices. A technical modification for the management of craniofacial dysostosis in early childhood

Cited by 7 publications

References 20 publications

High Le Fort I osteotomy for correction of mid‐face deformity in Crouzon syndrome

High Le Fort I osteotomy for correction of mid‐face deformity in Crouzon syndrome

Crouzon syndrome: Virtual planning of surgical treatment by application of internal distractors

Kraniofaziale Chirurgie: State of the Art 2012

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