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Computer-assisted fronto-facial monobloc advancement and facial bipartition for Pfeiffer's Syndrome: the surgical technique.

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INTRODUCTION In the Pfeiffer syndrome, several corrections are required to correct the facial retrusion, the maxillary deficiency or even the hypertelorism. The fronto-facial monobloc advancement (FFMA) and the facial bipartition… Click to show full abstract

INTRODUCTION In the Pfeiffer syndrome, several corrections are required to correct the facial retrusion, the maxillary deficiency or even the hypertelorism. The fronto-facial monobloc advancement (FFMA) and the facial bipartition (FB) are the gold standard surgeries. We present the correction of this deformity using a simultaneous computer-assisted FFMA and FB. TECHNICAL NOTE The 3D surgical planning defined the virtual correction and the bone cutting guide in view of the FFMA and the FB. Coronal and intraoral approaches were combined to perform the osteotomies. Four internal distractors were also placed for the postoperative distraction osteogenesis. DISCUSSION Computer-assisted surgery is helpful and a reliable option for the management of complex facio-craniosynostosis such as hypertelorism and fronto-facial retrusion.

Keywords: fronto facial; monobloc advancement; pfeiffer syndrome; computer assisted; facial monobloc

Journal Title: World neurosurgery
Year Published: 2022

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