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January 1990

Pediatric Craniofacial Surgery

Arch Otolaryngol Head Neck Surg. 1990;116(1):15. doi:10.1001/archotol.1990.01870010017005

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At the recent meeting of the Fifth International Symposium of the American Academy of Facial Plastic Reconstructive Surgery held in Toronto, Canada, Lawrence Marentette, MD, and coworkers, Minneapolis, Minn, described their technique for remodeling cranial vaults to correct craniosynostosis, craniofacial synostosis, plagiocephaly, brachycephaly, trigonocephaly, and lambdoid synostosis. He emphasized the importance of using tongue and groove cuts in both the cranial and facial bones in infants in order to obtain the best alignment for miniplate stabilization. This method also yielded the best cosmesis.

Most importantly, this surgery should be done early and by a team that includes an otolaryngologist and a neurosurgeon. Possible problems that can thereby be avoided include increased intracranial pressure, papilledema, and secondary blindness, and even severe mental retarda

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