Open craniofacial reconstruction for coronal craniosynostosis

Edward R Bader,Adisson N Fortunel,Andrew J Kobets,Rafael De La Garza Ramos,Adam Ammar,Oren Tepper

doi:10.3171/2021.1.focvid20122

Abstract

Here the authors demonstrate open craniofacial reconstruction for the correction of craniosynostosis, using techniques refined by Dr. James T. Goodrich at Montefiore Medical Center. They present the operative management of a case of unilateral coronal synostosis in a 12-month-old child, who presented with right forehead prominence and calvarial asymmetry. The patient had an excellent correction of her head shape with an uneventful postoperative course. This video highlights the authors’ multidisciplinary approach to complete cranial vault remodeling, utilizing a Marchac bandeau construct and split calvarial graft mosaic technique.The video can be found here: https://vimeo.com/519489422.

Highlights

We present craniofacial reconstruction for craniosynostosis, the open approach that is used at Montefiore Medical Center
Our diagnosis was confirmed with CT imaging and the patient was scheduled for a craniofacial reconstruction to correct the defect
In anterior cranial vault remodeling, which this patient will undergo, the patient is placed supine with exposure of the ears bilaterally, as well as the orbits, in order to expose the entire operative field from the orbital roof down to the ears bilaterally and as far back as 2 cm behind the coronal suture

Summary

Introduction

We present craniofacial reconstruction for craniosynostosis, the open approach that is used at Montefiore Medical Center. Our diagnosis was confirmed with CT imaging and the patient was scheduled for a craniofacial reconstruction to correct the defect. In anterior cranial vault remodeling, which this patient will undergo, the patient is placed supine with exposure of the ears bilaterally, as well as the orbits, in order to expose the entire operative field from the orbital roof down to the ears bilaterally and as far back as 2 cm behind the coronal suture.

Results

Conclusion