Rong-Min Baek

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  • PRINCIPLE OF CRANIOPLASTY

    Craniofacial surgery is the surgical techniques which allow combined access to the neurocranium and the facial skeleton. It treats primarily for congenital and acquired anomalies of the frontal, nasal and orbital regions; tumors of the orbits and the anterior cranial base; congenital or acquired deformities including simple or complex craniofacial synostoses as like Crouzon and Apert syndromes.

    Craniofacial surgery has greatly developed in the treatment of facial deformities affecting the skeleton by the concept of Dr. Paul Tessier. Two of the remarkable operations are correction of hypertelorism by circumferential mobilization of the orbits to allow radical repositioning of the eyes, and correction of facial retrusion by fronto-facial advancement. Craniofacial techniques applied for correction of craniosynostosis have proved very successful in most cases. The use of fixating plate including absorbable materials and the utilization of autologous bone grafts or various biomaterials are realized as usual techniques, as well as advances made in genetic diagnosis and distraction osteogenesis.

    New imaging techniques like 3D computed tomography CT scan has had a great influence on craniofacial surgery, not only in diagnosis of craniofacial anomalies but also in treatment planning of surgery. These days, 3D printing is commonly applied in surgical planning as like stereolithic models which can replicate the actual shape of the defect or deformity.

    The multidisciplinary team approach has been applied for specializing in each disease entity and permitted the maximum expertise to dedicate to their care.

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