Review Article| Volume 30, ISSUE 1, P75-84, March 2022

Fronto-orbital Advancement and Anterior Cranial Vault Reconstruction

  • Carlos R. Hernandez
    Resident, Department of Oral and Maxillofacial Surgery, UT Health San Antonio, San Antonio, TX, USA
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  • Mark Miller
    Corresponding author.
    Assistant Professor and Clinical Director, Department of Oral & Maxillofacial Surgery, UT Health San Antonio, San Antonio, TX, USA

    Assistant Professor, UT Health San Antonio, Long School of Medicine, Department of Neurosurgery, 7703 Floyd Curl Dr, San Antonio, TX, 78229, USA

    Assistant Professor, UT Health San Antonio, Department of Pediatrics, 7703 Floyd Curl Dr, San Antonio, TX, 78249, USA

    Cleft and Craniofacial Team, University Health System, 4502 Medical Drive, San Antonio, TX 78229
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  • Ramon L. Ruiz
    Chief Physician Executive, Pediatric Service Line, Orlando Health Medical Group, Director, Pediatric Craniomaxillofacial Surgery, Orlando Health- Arnold Palmer Hospital for Children, Associate Professor of Surgery, University of Central Florida College of Medicine
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      Surgical management of craniosynostosis involves release of the fused suture to allow brain growth to proceed in an unrestrained fashion, and reconstruction of the dysmorphic skeletal components.


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      1. Virchow R: Uber den cretinismus, nametlich in Franken, under uber pathologische, Schadel- formen Verk Phys Med Gesellsch Wurszburg 2:230, 1851.

        • Delashaw J.B.
        • Versing J.A.
        • Jane J.A.
        Cranial deformation in craniosynostosis.
        Neurosurg Clin N Am. 1991; 2: 611-620
        • Flaherty K.
        • Singh N.
        • Richtsmeier J.T.
        Understanding craniosynostosis as a growth disorder.
        Wiley Interdiscip Rev Dev Biol. 2016; 5: 429-459
        • Turvey T.A.
        • Gudeman S.K.
        Nonsyndromic craniosynostosis.
        in: Turvey T.A. Vig K.W.L. Fonseca R.J. Facial clefts and craniosyn-ostosis: principles and management. WB Saunders, Philadelphia (PA)1996: 596-629
        • Richardson D.
        • Thiruchelvam J.K.
        Craniofacial Surgery for orbital malformations.
        Nature News. 2006; 20 (Available at:) (October 26, 2021): 1224-1227
        • Renier D.
        • Sainte-Rose C.
        • Marchac D.
        • et al.
        Intracranial pressure in craniosynostosis, 525.
        J Neurosurg. 1982; 57: 370
        • Siddiqi S.N.
        • Posnick J.C.
        • Buncic R.
        • et al.
        The detection and management of intracranial hypertension after initial suture release and decompression for craniofacial dysostosis syndromes.
        Neurosurgery. 1995; 36: 703
        • Moore A.J.
        • Newell D.W.
        • Johns F.R.
        • et al.
        Syndromic craniosynostosis.
        in: Neurosurgery principles and practice. Springer, London (UK)2005: 462-472 (essay)
        • Turvey T.A.
        • Ruiz R.L.
        Craniosynostosis and craniofacial dysostosis.
        in: Fonseca R.J. Baker S.B. Wolford L.M. Oral and maxillofacial surgery. WB Saunders, Philadelphia (PA)2000: 195-220
        • Posnick J.C.
        Craniofacial dysostosis syndromes: a staged reconstructive approach.
        in: Turvey T.A. Vig K.W.L. Fonseca R.J. Facial clefts and craniosynostosis: principles and manage- ment. WB Saunders, Philadelphia (PA)1996: 630-685
        • Ruiz R.L.
        • Tiwana P.S.
        • Trent D.C.
        Fronto-orbital advancement and anterior cranial vault reconstruction.
        in: Carlson Eric Dierks Eric Fattahi Tirbod Atlas of oral and maxillofacial surgery. Elsevier - Health Sciences Div, St. Louis, Missouri2015: 435-451 (essay)
        • Pattisapu J.V.
        • Gegg C.A.
        • Olavarria G.
        • et al.
        Craniosynostosis: diagnosis and surgical management.
        Atlas Oral Maxillofacial Surg Clin North Am. 2010; 18: 77-91
        • Golabi M.
        • Edwards M.S.B.
        • Ousterhout D.K.
        Craniosynostosis and hydrocephalus.
        Neurosurgery. 1987; 21: 63-67
        • Hogan G.R.
        • Bauman M.L.
        Hydrocephalus in Apert syndrome.
        J Pediatr. 1971; 79: 782
        • Choi J.W.
        • Lim S.Y.
        • Shin H.-J.
        Craniosynostosis in growing children : pathophysiological changes and neurosurgical problems.
        J Korean Neurosurg Soc. 2016; 59: 197
        • Gorlin R.J.
        • Cohen Jr., M.M.
        • Levin L.S.
        Syndromes of the head and neck.
        3. Oxford University Press, New York1990: 524-526
        • Enlow D.H.
        • McNamara Jr., J.A.
        The neurocra- nial basis for facial form and pattern.
        Angle Orthod. 1973; 43: 256
        • Freide H.
        • Lilja J.
        • Andersson H.
        • et al.
        Growth of the anterior cranial base after craniotomy in infants with premature synostosis of the coronal suture.
        Scand J Plast Reconstr Surg. 1983; 17: 99
        • Marsh J.L.
        • Vannier M.W.
        The “third” dimension in craniofacial surgery.
        Plast Reconstr Surg. 1983; 71: 759
        • Marchac D.
        Radical forehead remodeling for craniosynostosis.
        Plast Reconstr Surg. 1978; 62: 335
        • Marchac D.
        • Renier D.
        • Jones B.M.
        Experience with the “floating forehead.
        Br J Plast Surg. 1988; 41: 1
        • Serletti J.M.
        • Weinzweig J.
        • Baker S.B.
        • et al.
        in: Current reconstructive surgery. McGraw-Hill Professional, 2012: 1-13 (essay)