Chapter 4:
Monobloc Advancement


Encephalocele

Orbital Hypertelorism

Enophthalmos

Exophthalmos

Facial Bipartition

Monobloc Advancement

 

CHAPTERS 

Introduction

Clefts of the Lip and Palate

Ear Reconstruction

Craniosynostosis

Orbital Reconstruction

Treacher Collins Syndrome

Nasal Reconstruction

Orthognathic Surgery

Trauma Reconstruction

Hemifacial Microsomia

Summary

 

Infants born with faciocraniosynostosis may have severe airway problems, increased intracranial pressure, vision-threatening proptosis and a failure to thrive. Such life-threatening problems may be treated with a one-stage procedure known as a monobloc advancement. This single phase operation releases the stenosis and advances the forehead and facial bones en bloc to a more anterior position. This has the goal of establishing normal function and appearance as early as possible. We feel this procedure has increased risks of infection due to the likely communication between the nasal and intracranial cavities and therefore use it cautiously for such indications as airway compromise or vision-threatening proptosis.

Monobloc Advancement

Infant born with faciocraniosynostosis causing severe airway problems, proptosis and failure to thrive. Postoperative result after a one-stage advancement of skull and face with marked improvement in airway, proptosis and overall health status.

 

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The Tennessee Craniofacial Center, part of the Erlanger Health System, is located in Chattanooga, Tennessee. The Center, led Larry A. Sargent, M.D., specializes in the evaluation and treatment of patients of all ages with craniofacial deformities. Location: 975 East Third Street. Chattanooga, Tennessee 37403
Phone: 423-778-9192 or 800-418-3223 Fax: 423-778-8172
Internet: www.craniofacialcenter.org Copyright ©1997, 2000, Erlanger Health Systems