Lecture Craniofacial Limoudei Hemsech
Lecture Craniofacial Limoudei Hemsech
Lecture Craniofacial Limoudei Hemsech
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Timing of surgery<br />
• The consensus is before one year.<br />
• Earlier<br />
– Better growth, early relief of ICP.<br />
• Later<br />
– Child stands surgery better, nearer to adult<br />
size.<br />
• Facial osteotomies<br />
– are performed at a later age.<br />
Principles of craniofacial<br />
surgery<br />
• Work is on a dynamic structure<br />
Surgery is performed on a growing skull,<br />
growth can alter the results and at the same<br />
time may change the growth patterns.<br />
• Patients positioned according to the operative<br />
plan and area.<br />
• Wide dissection of affected areas, Bicoronal<br />
incisions.<br />
• Combined intra and extracranial approaches.
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