Format

Send to

Choose Destination
Childs Nerv Syst. 2012 Sep;28(9):1571-6. doi: 10.1007/s00381-012-1804-y. Epub 2012 Aug 8.

Complications of frontofacial advancement.

Author information

1
Craniofacial Unit, Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1 3JH, UK. david.dunaway@gosh.nhs.uk

Abstract

PURPOSE:

The purpose of this study was to document the early and late complications associated with frontofacial distraction.

METHOD:

A systematic review of the literature on complications in craniofacial surgery and a review of records of patients undergoing frontofacial distraction at Great Ormond Street Hospital for Children over a 10-year period were conducted.

RESULTS:

Complications arising from frontofacial advancement are common. Mortality rates varied between 0 and 4.5 %. There has been a general decline in reported mortality rates with time, and the most recent series report mortalities of less than 1 %. The incidence of significant blood loss (greater than one blood volume) in patients undergoing monobloc osteotomy varied between 5.3 and 9.1 %. CSF leaks following monobloc distraction are common (incidence, 2-20 %). Most of these leaks settle spontaneously. The incidence of frontal bone flap necrosis requiring debridement and a subsequent cranioplasty varied between 3 and 20 %.

CONCLUSIONS:

The functional and aesthetic benefits of frontofacial distraction are well documented, but these advantages are associated with a significant complication rate. The potential benefits of frontofacial distraction need to be carefully weighed against the potential complications when deciding to recommend surgery.

PMID:
22872275
DOI:
10.1007/s00381-012-1804-y
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center