Introduction: Fronto-orbital advancement is a procedure commonly performed in craniofacial centers for coronal and metopic suture synostosis. Several variations of the technique have been reported. We report our experience and describe our surgical protocol in the treatment of non-syndromic craniosynostosis.
Materials and methods: We describe our protocol in the treatment of anterior plagiocephaly and trigonocephaly in non-syndromic craniosynostosis. The application of a standardized surgical technique makes it safer to operate in young children, shorten the surgical time, and lead to a reduction in blood loss.
Surgical technique: We start the surgical craniofrontoorbital remodeling drawing the new frontal bone in the midline of the posterior area, using the Marchac template. We avoid in this phase long frontal design to avoid complications such us long and flat frontal profile. Frontoorbital bandeau is recontouring and advanced using the standard technique depending on the type of craniosynostosis. The frontal bone graft is left “floating,” while anteriorly, rigid fixation with microplates and screws has supplanted wire osteosynthesis. We use two points for wire osteosyntesis to allow semirigid adjustment just in the fronto-orbital buttress and the lateral forehead. Bilateral cranial strips are use to secure the advancement and prevent relapse of the malformation, just behind the floating frontal bone.
Conclusion: The application of a standardized surgical technique allows reducing surgical time and improve the follow up recovering of these patients. Our protocol avoid complications such us relapse and reduce non-aesthetic results.
Conflict of interest : None declared.