Cranioplasty is required in craniofacial deformity including craniosynostosis and craniofaciosynostosis, prior to performing midfacial orthognathic surgery which “Intraoral Le Fort II or III Osteotomies” were introduced in 1994. A craniotomy design for advancement of frontal bone is usually required and important to match later “Intraoral Le Fort II or III Osteotomy”. New classification of three types of Fronto-Orbital Bandeau to match later Intraoral Le Fort II or III Osteotomy will be introduced. And implication of angulation of anterior frontal bone will be discussed and their three classifications with clinical application methods will be introduced.
Three designs of Fronto-Orbital Bandeau including lateral and inferior orbital rim, and three classifications of angulation of anterior frontal bone have been applied to 17 patients with Crouzon’s, Apert’s, Romberg’s disease and others. To correct the deformity, reshaping and advancement of frontal bone, correction of interobital distance, and orbital rim advancement, including latero-inferior orbital rim or not, were performed to match subsequent “Intraoral Le Fort II or III osteotomy”. These designs and methods make it easier for surgeons to perform in the subsequent these “Intraoral Midfacial Osteotomies” to correct cranio-maxillo-facial deformity via intraoral incision only without a facial scar.
Conflict of interest: None declared.