Abstract
Purposes
The main purposes of this manuscript are to provide an overview of various modalities of surgical correction of anterior plagiocephaly and to emphasize their differences with the classic open frontal–orbital advancement.
Methods and Results
Advancement of technology provides development of many other ways to achieve the same results. The authors describe the classic open frontal–orbital advancement and compare with other proposed techniques for correction of frontal plagiocephaly. The main limitation of the use of new forms of treatment of the anterior plagiocephaly is the age of the patient. There is still no consensus on criteria for quantitative evaluation of surgical results, and new forms of treatment do not present results with long follow-up.
Conclusion
Frontal–orbital advancement is the preferred procedure to correct unicoronal synostosis due to its universal indication regardless of the age and degree of deformation of the anterior plagiocephaly.
Similar content being viewed by others
References
Tessier P (1967) Osteotomies totales de la face: Syndrome de Crouzon, Syndrome d’Apert, oxycephale, scaphocephale, turricephale. Ann Chir Plast 12:273
Lo IJ, Marsh JL, Kane AA, Vannier MW (1996) Orbital dysmorphology in unilateral coronal synostosis. Cleft Palate Craniofac J 33:190–197
Kane AA, Lo LJ, Vannier MW, Marsh JL (1996) Mandibular dysmorphology un unicoronal synostosis and plagiocephaly without synostosis. Cleft Palate Craniofac J 33:418–423
Gosain AK, Steele MA, McCarthy JG, Thorne CH (1996) A prospective study of the relationship between strabismus and head posture in patients with frontal plagiocephaly. Plast Reconstr Surg 97:881–891
MacKinnon S, Roger GF, Gregas M, Proctor MR, Mulliken JB, Dagi LR (2009) Treatment of unilateral coronal synostosis by endoscopic strip craniectomy or fronto-orbital advancement: ophthalmologic findings. JAAPOS 13:155–160
Nagasao T, Miyamoto J, Uchikawa Y, Tamaki T, Yamada A, Kaneko T, Jiang H, Issiki Y (2010) A biomechanical study on the effect of premature fusion of the frontosphenoidal suture on orbit asymmetry in unilateral coronal synostosis. Cleft Palate Craniofac J 47(1):82–91
McCarthy JG, Coccaro PJ, Epstein F, Converse JM (1978) Early skeletal release in infant with craniofacial synostosis. The role of the sphenozygomatic suture. Plast Reconstr Surg 62:335–346
Hoffman HJ, Mohr G (1976) Lateral canthal advancement of the supraorbital margin. A new corrective technique in the treatment of coronal synostosis. J Neurosurg 45:376–381
Machado HR, Hoffman HJ (1992) Long-term results after lateral canthal advancement for unilateral coronal synostosis. J Neurosurg 76:401–407
Whitaker LA, Schut L, Kerr LP (1977) Early surgery for isolated craniofacial dysostosis. Plast Reconstr Surg 60:575–581
Marchac D (1978) Radical forehead remodeling for craniosynostosis. Plast Reconstr Surg 14:61–72
Burstein F, Eppley B, Hudgins R, Williams J, Boydston W, Reiner A, Stevenson K (2006) Application of the spanning plate concept to frontal orbital advancement: techniques and clinical experience in 60 patients. J Craniofac Surg 17:241–245
Guzman R, Looby JF, Schendel S, Edwards MSB (2011) Fronto-orbital advancement using an en bloc frontal bone craniectomy. Neurosurgery 68(suppl 1):68–74
Hansen M, Padwa B, Scott RM, Stieg P, Mulliken JB (1997) Synostotic frontal plagiocephaly: anthropometric comparison of three techniques for surgical correction. Plast Recontr Surg 100:1387–1395
McCarthy JG, Glasberg SB, Cutting CB, Epstein FJ, Grayson BH, Ruff G, Thorne CH, Wisoff J, Zide BM (1995) Twenty-year’s experience with early surgery for craniosynostosis. II. The craniofacial unsolved problems. Plast Reconstr Surg 96:284–298
Selber JC, Brooks C, Kurichi JE, Remmen T, Sonnad SS, Whitaker LA (2008) Long-term results following fronto-orbital reconstruction in nonsyndromic unicoronal synostosis. Plast Reconstr Surg 122:251e–260e
Hilling DE, Mathijssen IMJ, Mulder PGH, Vaandrager JM (2006) Long-term aesthetic results of frontoorbital correction for frontal plagiocephaly. J Neurosurg 105(1 Suppl Ped):21–25
Mesa JM, Fang F, Murazko KM, Buchman S (2011) Reconstruction of unicoronal plagiocephaly with a hypercorrection surgical technique. Neurosurg Focus 31:1–8
Barone C, Jimenzes D (2004) Endoscopic approach to coronal craniosynostosis. Clin Plast Surg 31:415–422
Choi JW, Kosh KS, Hong JP, Hong SR, Ra Y (2009) One-piece frontoorbital advancement with distraction but without a supraorbital bar for coronal craniosynostosis. J Plast Reconstr Aesthet Surg 62:1166–1173
Hirabayashi S, Sugawara Y, Sakurai A, Harii K, Park S (1998) Fronto-orbital advancement by gradual distraction. Technical note. J Neurosurg 89:1058–1061
Satoh K, Mitsukawa N, Hayashi R, Hosaka Y (2004) Hybrid of distraction osteogenesis unilateral frontal distraction and supraorbital reshaping in correction of unilateral coronal synostosis. J Craniofac Surg 15:953–959
Tellado MG, Lema A (2009) Coronal suturectomy through minimal incisions and distractions osteogenesis are enough without other craniotomies for the treatment of plagiocephaly due to coronal synostosis. J Craniofac Surg 20:1975–1977
Stelniski E, Heger I, Brooks CJ, Ghersi MM, Subbs CB, Bahuleyan B, Paresi R (2009) Endoscopic release of unicoronal craniosynostosis. J Craniofac Surg 20:93–97
Fearon JA, Ruotolo RA, Kolar JC (2009) Single sutural craniosynostoses: surgical outcomes and long-term growth. Plast Recontr Surg 123:635–642
Conflict of interest
Authors received no financial support for this work and declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Matushita, H., Alonso, N., Cardeal, D.D. et al. Frontal–orbital advancement for the management of anterior plagiocephaly. Childs Nerv Syst 28, 1423–1427 (2012). https://doi.org/10.1007/s00381-012-1765-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-012-1765-1