Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities

The classical treatment of craniosynostosis is based on the fundamental work by Tessier. However, developmental aspects suggest modified osteotomy lines like fronto orbito nasal advancement combined with a modified midfacial distraction. This also makes it possible to take assess the different dista...

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Main Author: U. Joos
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Journal of Oral Biology and Craniofacial Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426821001068
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author U. Joos
author_facet U. Joos
author_sort U. Joos
collection DOAJ
description The classical treatment of craniosynostosis is based on the fundamental work by Tessier. However, developmental aspects suggest modified osteotomy lines like fronto orbito nasal advancement combined with a modified midfacial distraction. This also makes it possible to take assess the different distances of the anterior displacement of the individual parts of the skull. Pioneering in therapy is less the syndrome itself than the accompanying symptoms such as respiration and intracranial pressure. For brain release we recommended (Joos 1998) the osteoclastic procedure according to Powiertowsky (1974) within the first 6 months of life. For further treatment frontoorbito–nasal advancement and modified midface distraction seem to achieve better results in enlarging the inner nose and a more harmonious profile.
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spelling doaj-art-cbde118baa7c438bb34ddb07da0150e32025-08-20T02:02:02ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-01-0112141210.1016/j.jobcr.2021.09.017Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformitiesU. Joos0Director International Medical College, University Duisburg-Essen, Gartenstraße 21, 48147, Münster, GermanyThe classical treatment of craniosynostosis is based on the fundamental work by Tessier. However, developmental aspects suggest modified osteotomy lines like fronto orbito nasal advancement combined with a modified midfacial distraction. This also makes it possible to take assess the different distances of the anterior displacement of the individual parts of the skull. Pioneering in therapy is less the syndrome itself than the accompanying symptoms such as respiration and intracranial pressure. For brain release we recommended (Joos 1998) the osteoclastic procedure according to Powiertowsky (1974) within the first 6 months of life. For further treatment frontoorbito–nasal advancement and modified midface distraction seem to achieve better results in enlarging the inner nose and a more harmonious profile.http://www.sciencedirect.com/science/article/pii/S2212426821001068Cranio facial anomalyFronto orbito nasal advancementMidface distractionOrthodontic treatment
spellingShingle U. Joos
Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities
Journal of Oral Biology and Craniofacial Research
Cranio facial anomaly
Fronto orbito nasal advancement
Midface distraction
Orthodontic treatment
title Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities
title_full Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities
title_fullStr Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities
title_full_unstemmed Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities
title_short Fronto-orbito-nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities
title_sort fronto orbito nasal advancement a surgical approach based on skull development in treatment of craniofacial deformities
topic Cranio facial anomaly
Fronto orbito nasal advancement
Midface distraction
Orthodontic treatment
url http://www.sciencedirect.com/science/article/pii/S2212426821001068
work_keys_str_mv AT ujoos frontoorbitonasaladvancementasurgicalapproachbasedonskulldevelopmentintreatmentofcraniofacialdeformities