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Improved Correction of Supraorbital Rim Deformity in Craniosynostosis by the Tilt Procedure

Patel, Anup MD, MBA; Chang, Christopher C. MD; Terner, Jordan S. BA; Tuggle, Charles T. BA; Persing, John A. MD

Journal of Craniofacial Surgery: March 2012 - Volume 23 - Issue 2 - p 370–373
doi: 10.1097/SCS.0b013e318240fac8
Original Articles

Abstract: Orbital rim deficits are a feature of metopic, unilateral coronal, and bilateral coronal craniosynostosis. Several procedures have been developed to address this issue, but relapse to the preoperative hypoplastic deformity and stunted growth of the fronto-orbital region are common. The authors describe a technique modification of the conventional lateral canthal advancement referred to as the orbital rim “tilt” procedure, which aims to preserve inferior bony support for the orbital rim and create projection with optimal proclination of the fronto-orbital complex.

From the Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT

Received March 12, 2011.

Accepted for publication May 30, 2011.

Address correspondence and reprint requests to John A. Persing, MD, Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06520; E-mail: john.persing@yale.edu

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD