Introduction : The fronto-orbital advancement cranial remodeling has been the traditional treatment of children with syndromic craniostenosis to treat potential neurological and ophthalmological complications. However, this technique does not correct hypoplasia of the facial third middle and complications arising from this. Since the introduction in the craniofacial area of bone distraction, it is getting excellent results, in addition to being a procedure effective, safe and stable method to improve aesthetics and functionally craniofacial abnormalities of these children.

Patients and method : The objective of the study was to compare the fronto-orbital advancement, airway and occlusion of patients treated by these two surgical techniques. The measures were taken pre and postoperative in 6 children operated by bone distraction and 3 by fronto-orbital advancement on a single time.

Results : The three children treated by fronto-orbital advancement are awaiting new surgery of the third half because of the maxila hypoplasia with recurrence of the proptosis since the advance was less than using bone distraction. In the intervened group through distraction three of them are waiting new surgery because the recurrence of the malocclusion in class III in any case there was significant ostoperative complications.

Conclusions : The multidisciplinary management of these patients is important to make a proper diagnosis, planning of each case each time with more sophisticated radio-diagnostic techniques. It is essential to determine the ideal timing for surgery, the surgical technique (increasingly more distraction), vector of distraction and finally not to forget the alteration of the growth of these children who very likely require further surgery in most cases.