Twenty Year review for Craniofacial Distraction in syndromic craniosynostosis

Introduction: Craniosynostosis are cranial deformities resulting from the early closure of one or more sutures. Concomitant facial changes usually result involvement multiple sutures, which may lead to restriction growth and brain expansion, ocular compression, breathing difficulties. The distraction osteogenesis (DO)for frontofacial posterior advancement have increased safety procedure. aim this study was a critical evaluation use DO in surgical treatment syndromic craniosynostoses, based on experience single craniofacial team.
 Methods: Retrospective review third six patients operated 2003 2022 by same Results: 19 boys 17 girls were operated, all with rigid distractors. Twenty-nine them underwent monobloc advancement. In seven patient Le-Fort III/subcranial performed. A performed 5. 11 fronto-orbital done first year life. mean age 6.0 years (range, 6 months 13 years). All presented some degree exorbitism, upper airway obstruction signs intracranial hypertension. Cerebrospinal fluid leakage most frequent complication (9 cases), pterygomaxillary disjunction revised 8, lateral rim orbital fracture 3 cases, related device.
 Conclusions: evolution techniques allowed distractors be an important tool for treating issues craniosynostoses. multidisciplinary team's learning curve is reducing complications associated osteogenic distraction.