PMC5502494_01
Preoperative profile views, (a) frontal view. (b and c) Right and left lateral views
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F1
A 5-year-old girl reported to center with a chief complaint of deformed head and wanted to correct it [Figure 1].
Preoperative 3D computed tomography (a) right lateral view. (b) Left lateral view
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F2
Furthermore, evidence of temporal hallowing observed [Figure 2].
3D-reconstructed stereolithographic models (a) frontal view. (b) Bird's eye view. (c) Left lateral view
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F3
After adequate imaging studies and clinical examination, using the latest CT set of images, a customized 3D-stereolithographic model was prepared [Figure 3] and the planned osteotomy cuts were prepared on the model before the surgery [Figure 4].
Mock surgery on 3D-reconstructed stereolithographic model, (a) planned osteotomy cuts. (b) Frontal bone osteotomy (c) fronto-orbital bandeau osteotomy
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F4
After adequate imaging studies and clinical examination, using the latest CT set of images, a customized 3D-stereolithographic model was prepared [Figure 3] and the planned osteotomy cuts were prepared on the model before the surgery [Figure 4].
Bicoronal incision made and subperiosteal flap elevation up to the supraorbital rim
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F5
The lateral canthus was suspended using nylon sutures using holes drilled in the lateral orbital rims [Figures 5-7].
(a) Osteotomy of the frontal bone using a craniotome. (b) Separation of the frontal bone flap from the underlying dura of the brain
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F6
The lateral canthus was suspended using nylon sutures using holes drilled in the lateral orbital rims [Figures 5-7].
(a) Fixation of the advanced left fronto-orbital segment using titanium plates and screws. (b) Fixation of the frontal bone to the fronto-orbital bandeau and the rest of the calvarium using SonicWeld bioresorbable plates and screws
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F7
The lateral canthus was suspended using nylon sutures using holes drilled in the lateral orbital rims [Figures 5-7].
Postoperative views, (a) frontal view (b and c) right and left lateral views
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F8
The patient is being regularly followed up [Figure 8].