Clinical NotesLate Results After Unicoronal Craniosynostosis CorrectionAnderson, Peter J. MD, FDSRCS(Ed), FRCS(Eng), FRCS(Plast); David, David J. MD, FRCS(Ed), FRCS(Eng), FRACSAuthor Information North Adelaide, South Australia From the Australian Craniofacial Unit, Women's and Children's Hospital, North Adelaide, South Australia, associated with the University of Adelaide. Address correspondence and reprint requests to Dr. Anderson, Australian Craniofacial Unit, Women's and Children's Hospital, 72, King William Road, North Adelaide, South Australia, SA 5006; e-mail: [email protected]. Journal of Craniofacial Surgery: January 2005 - Volume 16 - Issue 1 - p 37-44 Buy Abstract The authors report nine patients with unicoronal synostosis who were treated with the same surgical protocol and who now have reached skeletal maturity. These patients all underwent surgery at the Australian Craniofacial Unit during a 2-year period by one of two craniofacial surgeons and one of two neurosurgeons. The operative procedure in all of these cases was the same technique, in which there was unilateral advancement of the affected side. No cases required reoperation; however, one case subsequently required revision of the coronal scar, and two cases required strabismus correction. All cases were reviewed to evaluate patient results by the clinical staff; recent photographs at skeletal maturity also were reviewed. Two patients had adult computed tomography scans available for skeletal assessment, and one additional patient had undergone serial computed tomography scans during childhood. The patients also completed an anonymous questionnaire to ascertain their assessment of their appearance. The results of the clinical and radiologic assessments and questionnaire suggest that the operative procedure undertaken in these cases has produced satisfactory results in the long term, with few individuals requiring (or even considering) additional surgery, despite some persistent asymmetry. © 2005 by Mutaz B. Habal, MD.