Eur J Plast Surg (2013) 36:251–253 DOI 10.1007/s00238-012-0712-4 IDEAS AND INNOVATIONS The use of an onlay cranioplasty and subtemporalis fascial pockets in the prevention of temporal hollowing following fronto-orbital remodelling Alex J. Davies & Nigel S. G. Mercer & Michael R. Carter Received: 1 January 2012 /Accepted: 21 February 2012 /Published online: 28 March 2012 Springer-Verlag 2012 Sir, secondary to the restricted skull growth. This may persist The treatment of metopic and coronal synostosis often following cranioplasty, and it has been proposed that the involves a correction of the frontal bone as well as the restriction of the periorbital region may continue following supraorbital bar (the bandeau), a procedure known as correction . We report a simple technique that we have fronto-orbital remodelling. Coronal skin incisions are often found useful in addition to careful dissection around the used in fronto-orbital remodelling procedures due to the temporal fossa in the prevention of temporal hollowing excellent access they provide to the craniofacial skeleton, following fronto-orbital remodelling procedures. particularly, in these cases, both the metopic and coronal Following a frontal craniectomy, the resultant bone flaps sutures as well as exposing the orbital rim as far as its lateral are reshaped as required
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2013
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