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Monobloc frontofacial advancement. In some patients, it is possible to advance the forehead and midface in one step, simultaneously improving the form and appearance of the forehead, eyes and midface. In these cases, the monobloc frontofacial advancement is performed instead of a combination of fronto-orbital and Le Fort III procedures.
Nov 24, 2019 · The monobloc advancement is a procedure that can make craniofacial dysostosis patients (Crouzon, Pfeiffer) look normal (FIGS 3 and 4). PATIENT HISTORY AND PHYSICAL FINDINGS Patients with a retrusive forehead and midface, proptosis, and class 3 malocclusion (common in craniofacial dysostosis patients such as Crouzon or Apert) benefit from the ...
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Monobloc Frontofacial Advancement. Monobloc frontofacial advancement surgery moves the bones of the forehead and middle of the face (midface) forward. Surgeons also open the closed joints (sutures) at the front of your child’s skull. The surgery gives more space for your child’s growing brain.
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A monobloc advancement procedure is used in craniofacial dysostosis patients to correct (1) midfacial and forehead retrusive deformities, (2) upper airway obstruction (such as obstructive sleep apnea or tracheostomy dependence), (3) exorbitism (such as ocular keratitis, corneal ulcers, globe herniation, or blindness), and (4) intracranial hypertens...
The monobloc advancement procedure is advantageous because it avoids a second major procedure. In just one operation, both the forehead and midface deformities are corrected and functional improvement may be seen. The main disadvantage to a monobloc advancement is the risk of serious complications (e.g., meningitis, CSF leak, or complete frontal bo...
There are treatment alternatives for craniofacial dysostosis patients with forehead retrusion and significant midface hypoplasia. Correction may involve either (1) staged procedures with fronto-orbital advancement followed by Le Fort III advancement or (2) a monobloc (one-unit) advancement. Sometimes the initial fronto-orbital advancement procedure...
Patients with craniofacial dysostosis syndromes have cranial vault and midface deformities with common features and similar growth disturbances. Some surgical strategies, including timing and techniques, may thus be generalized for these syndromes. Optimal care, however, should be tailored to each individual diagnosis and each individual patient. T...
In preparing for a monobloc advancement, a CT with 3-dimensional reconstruction may be used as a “road map.” In addition, we used 3-dimensional photographic imaging for preoperative, postoperative, and follow-up comparison of facial volumetric changes (Figure 9.1
English. Monobloc Reconstruction for Syndromic Craniosynostosis. The Monobloc is a craniofacial operation that can produce major changes in facial appearance and expand the volume of the skull for the treatment of brain compression. Patients who undergo Monobloc reconstruction are usually diagnosed with syndromic craniosynostosis.
Such life-threatening problems may be treated with a one-stage procedure known as a monobloc advancement. This single phase operation releases the stenosis and advances the forehead and facial bones en bloc to a more anterior position. This has the goal of establishing normal function and appearance as early as possible.
Nov 2, 2021 · Treatment of CS is based on the surgical history of the patient and can include LeFort III osteotomy with staged fronto-orbital advancement or single-staged monobloc frontofacial advancement. The LeFort III osteotomy provides adequate midface advancement and improvement of airway management.
