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Treating Craniofacial Dysostoses with Hypertelorism by Monobloc Facial Bipartition Distraction: Surgical and Educational Videos

Raposo-Amaral, Cassio Eduardo M.D., Ph.D.; Denadai, Rafael M.D.; Ghizoni, Enrico M.D., Ph.D.; Raposo-Amaral, Cesar Augusto M.D.

Plastic and Reconstructive Surgery: August 2019 - Volume 144 - Issue 2 - p 433-438
doi: 10.1097/PRS.0000000000005859
Pediatric/Craniofacial: Video+
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Discussion

Summary: Simultaneously advancing and medializing the orbital segments in a stable bone bloc constitutes a major advancement in craniofacial surgery. Monobloc bipartition enables destigmatization of the syndromic face by correcting the abnormal orbital axis and interorbital distance. The authors stratified this complex surgical approach into five major steps to facilitate a holistic understanding of the surgical sequence. The rationale for latency and activation periods and the advantages and disadvantages of this technique are described.

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São Paulo, Brazil

From the Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas; and the Department of Neurology, University of Campinas.

Received for publication July 8, 2018; accepted January 15, 2019.

Disclosure:The authors have no financial interest to declare in relation to the content of this article. No funding was received for this article.

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Cassio Eduardo Raposo-Amaral, M.D., Ph.D., Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Av. Adolpho Lutz, 100, Caixa Postal: 6028, Campinas, São Paulo 13084-880, Brazil, cassioraposo@hotmail.com, Instagram: @cassio.raposo

Copyright © 2019 by the American Society of Plastic Surgeons