Distraction osteogenesis with temporal bone remodeling for unicoronal craniosynostosis

Phuong D Nguyen,Matthew R Greives,Ahmed Belal,Stephen A Fletcher,Manish N Shah,George N Washington,David I Sandberg

doi:10.3171/2021.1.focvid20121

Abstract

Unicoronal craniosynostosis correction with fronto-orbital advancement and cranial vault remodeling has traditionally been the gold standard. Distraction osteogenesis has the advantage of increased size of movement without constriction of the scalp and decreased morbidity. Although fronto-orbital advancement and cranial vault remodeling are usually performed at 6 months of age or later, distraction osteogenesis is performed at a younger age, between 3 and 6 months, to take advantage of the infant bony physiology. Herein, the authors demonstrate a case of distraction osteogenesis for unicoronal craniosynostosis in a 3-month-old female with significant improvement of her orbital, nasal, and frontal symmetry.The video can be found here: https://vimeo.com/519047922

Highlights

Unicoronal craniosynostosis correction with fronto-orbital advancement and cranial vault remodeling has traditionally been the gold standard
Distraction osteogenesis has the advantage of increased size of movement without constriction of the scalp and decreased morbidity
Fronto-orbital advancement and cranial vault remodeling are usually performed at 6 months of age or later, distraction osteogenesis is performed at a younger age, between 3 and 6 months, to take advantage of the infant bony physiology

Summary

Introduction

Unicoronal craniosynostosis correction with fronto-orbital advancement and cranial vault remodeling has traditionally been the gold standard. Fronto-orbital advancement and cranial vault remodeling are usually performed at 6 months of age or later, distraction osteogenesis is performed at a younger age, between 3 and 6 months, to take advantage of the infant bony physiology. The authors demonstrate a case of distraction osteogenesis for unicoronal craniosynostosis in a 3-month-old female with significant improvement of her orbital, nasal, and frontal symmetry. As a sequela of her unicoronal craniosynostosis, she has nasal root deviation to the affected side as well as temporal bulging on the same side.

Results

Conclusion