Background: Craniosynostosis (CS) is the premature fusion of one or more cranial sutures, leads to abnormal craniofacial form and function. This study aimed to evaluate the cosmotic and functional outcome of fronto-orbital advancement in patients of craniosynostosis. Methods: This prospective study of 11 patients diagnosed with metopic and coronal cs. All studied cases were subjected to the following: Detailed history (age, gender and time of presentation), general evaluation (deformity of face) , ophthalmological evaluation by fundus examination and visual field and Degree of Exophthalmos Patients with intracranial pathologies were excluded from the study and neurological evaluation (manifestation of increased intracranial pressure) with suitable radiological investigations by CT brain including estimation of orbital volume (AP, horizontal and vertical) orbital rim.. Results: There was significant increase in vertical, horizontal, anteroposterior and orbital dimensions and volume 6 months postoperative when compared to preoperative & immediately postoperative. Conclusion: The primary indications for cranial remodeling with fronto-orbital advancement in cases of anterior calvarial (metopic and coronal) synostosis are twofold: the prevention of potential neurologic impairment and the enhancement of aesthetic improvements in skull shape. For many patients, the latter represents the primary motivation for seeking treatment. Deformities arising from craniosynostosis are best addressed through cranial vault reshaping, ideally at an early age, before calvarial bones have fully ossified. The measurement of orbital volume serves as an intuitive assessment of surgical improvement, making it a valuable indicator in the evaluation of fronto-orbital advancement outcomes. |
