Syndromic Synostosis: Frontofacial Surgery.

Kevin Chen, Katelyn Kondra, Eric Nagengast, Jeffrey A Hammoudeh, Mark M Urata

Journal: Oral and maxillofacial surgery clinics of North America 2022;34(3):459-466

PMID: 35786530

Full Text on Elsevier Science View on PubMed

Abstract

Frontofacial surgery, encompassing the monobloc with or without facial bipartition and the box osteotomy, can treat the frontal bone and midface simultaneously, providing comprehensive improvement in facial balance. Complex pediatric patients with genetic syndromes and craniosynostosis are most optimized by an interdisciplinary team of surgeons, pediatricians, geneticists, speech pathologists, audiologists, dietitians, pediatric dentists, orthodontists, and psychosocial support staff to manage the myriad of challenges and complications throughout early childhood and beyond. Despite early treatment of the anterior and posterior cranial vault, these patients frequently have resultant frontal and/or midface hypoplasia and orbital abnormalities that are best managed with simultaneous surgical treatment.

Address: Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, 4650 West Sunset Boulevard, Mailstop 96, Los Angeles, CA 90027, USA.; Division of Plastic and Reconstructive Surgery, Keck Medicine of USC, 1520 San Pablo Street, Los Angeles, CA 90033, USA.; Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, 4650 West Sunset Boulevard, Mailstop 96, Los Angeles, CA 90027, USA; Division of Plastic and Reconstructive Surgery, Keck Medicine of USC, 1520 San Pablo Street, Los Angeles, CA 90033, USA; Herman Ostrow School of Dentistry, University of Southern California, 925 West 34th Street, Los Angeles, CA 90089, USA; Division of Oral and Maxillofacial Surgery, University of Southern California, 925 West 34th Street, Los Angeles, CA 90089, USA. Electronic address: [email protected].; Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, 4650 West Sunset Boulevard, Mailstop 96, Los Angeles, CA 90027, USA; Division of Plastic and Reconstructive Surgery, Keck Medicine of USC, 1520 San Pablo Street, Los Angeles, CA 90033, USA; Herman Ostrow School of Dentistry, University of Southern California, 925 West 34th Street, Los Angeles, CA 90089, USA; Division of Oral and Maxillofacial Surgery, University of Southern California, 925 West 34th Street, Los Angeles, CA 90089, USA.

DOI: 10.1016/j.coms.2022.03.001

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MeSH Terms: Child, Child, Preschool, Craniosynostoses, Frontal Bone, Humans, Osteogenesis, Distraction, Osteotomy