Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/241700
Type: Artigo de periódico
Title: Facial Changes After Early Treatment Of Unilateral Coronal Synostosis Question The Necessity Of Primary Nasal Osteotomy
Author: Raposo-Amaral
Cassio Eduardo; Denadai
Rafael; Ghizoni
Enrico; Buzzo
Celso Luiz; Raposo-Amaral
Cesar Augusto
Abstract: Background: The premature fusion of unilateral coronal suture can cause a significant asymmetry of the craniofacial skeleton, with an oblique deviation of the cranial base that negatively impacts soft tissue facial symmetry. The purpose of this study was to assess facial symmetry obtained in patients with unilateral coronal synostosis (UCS) surgically treated by 2 different techniques. We hypothesized that nasal deviation should not be addressed in a primary surgical correction of UCS. Methods: Consecutive UCS patients were enrolled in a prospective study and randomly divided into 2 groups. In group 1, the patients underwent total frontal reconstruction and transferring of onlay bone grafts to the recessive superior orbital rim (n = 7), and in group 2, the patients underwent total frontal reconstruction and unilateral fronto-orbital advancement (n = 5). Computerized photogrammetric analysis measured vertical and horizontal axis of the nose and the orbital globe in the preoperative and postoperative periods. Intragroup and intergroup comparisons were performed. Results: Intragroup preoperative and postoperative comparisons showed a significant (all P < 0.05) reduction of the nasal axis and the orbital-globe axis in the postoperative period in the 2 groups. Intergroup comparisons showed no significant difference (all P > 0.05). Conclusions: Facial symmetry was achieved in the patients with UCS who underwent surgery regardless of surgical approach evaluated here. Our data showed a significant improvement in nasal and orbital-globe deviation, leading us to question the necessity of primary nasal correction in these patients.
Subject: Fronto-orbital Advancement
Nonsyndromic Craniosynostosis
Unicoronal Craniosynostosis
Operative Treatment
Strip Craniectomy
Asymmetries
Photogrammetry
Dysmorphology
Diagnosis
Indexes
Country: PHILADELPHIA
Editor: LIPPINCOTT WILLIAMS & WILKINS
Rights: fechado
Identifier DOI: 10.1097/SCS.0000000000001400
Address: http://ovidsp.tx.ovid.com/sp-3.20.0b/ovidweb.cgi?QS2=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
Date Issue: 2015
Appears in Collections:Unicamp - Artigos e Outros Documentos

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