Orbital rim and malar advancement for unilateral coronal synostosis in the older pediatric age group |
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Authors: | K Elisevich U Bite R G Colcleugh |
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Institution: | Department of Clinical Neurological Sciences (Division of Neurosurgery), Victoria Hospital, University of Western Ontario, London, Canada. |
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Abstract: | The authors describe a technique for lateral orbital rim and malar advancement in patients in the older pediatric age group. The technique makes use of a strip craniotomy containing the supraorbital margin, greater sphenoid wing, and temporal bone, with en bloc inclusion of the lateral orbital rim, zygoma, and malar prominence. The method allows a contoured yet stable construction secured in a tongue-in-groove fashion with plate-and-screw fixation. It creates a symmetrical reconstruction of both frontal and lateral orbital aspects in the untreated or inadequately treated older plagiocephalic child with orbital dystopia. The accompanying malar recession is likewise corrected. |
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