ADVANCEMENT OF THE ORBITS AND THE MIDFACE IN ONE PIECE, COMBINED WITH FRONTAL REPOSITIONING, FOR THE CORRECTION OF CROUZONʼS DEFORMITIES

TLDR

The authors propose radical craniofacial osteotomies to correct exorbitism and improve esthetic outcomes in children with Crouzon's syndrome. The technique involves simultaneous advancement of both orbits and the midface as a single block, combined with frontal advancement and reshaping, and includes minor modifications to enhance fixation and mechanical stability of the mobilized skull segments. In children without open bite, the procedure produced highly satisfactory results, and the authors anticipate that the improved appearance will persist through growth, although long‑term data are pending.

Abstract

We describe the use of radical craniofacial osteotomies, to improve the correction of exorbitism and to obtain better esthetic results in children with Crouzon's syndrome. We suggest some minor modifications to improve the fixation and the mechanical stability of the mobilized segments of the skull. Our procedure consists, essentially, of advancement of both orbits and the midface in one piece, plus advancement and reshaping of the frontal area. The results obtained by this technique, in children with a Crouzon's deformity without open bite, have been most satisfactory. We believe the satisfactory resultant appearance will be maintained during and after growth of the face, although these children have not been followed long enough yet to ascertain this with certainty.