Craniofacial Symmetry Progression Following Strip Craniectomy Versus Fronto-Orbital Advancement in…

Cohort studyThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association· Apr 2026

Craniofacial Symmetry Progression Following Strip Craniectomy Versus Fronto-Orbital Advancement in Unilateral Coronal Synostosis.

Lucas M Harrison, Rami R Hallac, Paymon Sanati-Mehrizy … Alex A Kane

Read paper

Craniofacial & CleftCohort studyTreatmentQ1IF 2.6

Orbital width asymmetry persisted after fronto-orbital advancement at 2 years

Craniofacial Symmetry Progression Following Strip Craniectomy Versus Fronto-Orbital Advancement in Unilateral Coronal Synostosis.

Lucas M Harrison … Alex A Kane

The Cleft palate-craniofacial journal · Apr 2026

Purpose

The purpose of this study is to evaluate the progression of craniofacial symmetry over time following strip craniectomy or fronto-orbital advancement in unilateral coronal synostosis.

Methods

A retrospective review of 3-dimensional images obtained preoperatively and at 1- and 2-year postoperatively.

n = 36 control

Results

orbital width asymmetry after fronto-orbital advancement stayed abnormal, unlike other measures that normalized

95.15%

SC orbital width

96.12%

SC midface

96.43%

FOA cranial

93.6%

FOA orbital width

More results

The strip craniectomy group had significantly shorter operative time, less blood loss, and a shorter hospital length of stay.

There was no significant difference in craniofacial asymmetry measurements between groups.

More results

The orbital width (95.15 ± 3.95%) and midface (96.12 ± 3.15%) asymmetry in the strip craniectomy group remained significantly different from controls at 2 years postoperatively ( P < .001; P < .001).

“

Conclusion · 1 of 2

Strip craniectomy and fronto-orbital advancement both improved craniofacial symmetry over time, though orbital width and midface differences persisted compared to controls at 2 years postoperatively.

Conclusion · 2 of 2

Fronto-orbital advancement also showed a persistent cranial asymmetry compared with controls.

Craniofacial Symmetry Progression Following Strip Craniectomy Versus Fronto-Orbital Advancement in Unilateral Coronal Synostosis.

Craniofacial Symmetry Progression Following Strip Craniectomy Versus Fronto-Orbital Advancement in Unilateral Coronal Synostosis.

Related papers