Treatments and Procedures

The Center for Complex Craniofacial Disorders offers a number of surgical treatments for pediatric patients. Learn more about box osteotomy, calvarial vault remodeling/fronto-orbital advancement, facial bipartition, LeFort 3 distraction and orthognathic surgery.

Box Osteotomy

Box osteotomy is surgery performed by a plastic surgeon and a neurosurgeon working together to reposition one or both orbits (the bones holding the eyes). Patients who need a box osteotomy may have hypertelorbitism, orbital dystopia, Apert syndrome, Crouzon syndrome or hemifacial microsomia.

Calvarial Vault Remodeling

Calvarial vault remodeling (CVR) refers to a surgical procedure used to reshape the bones of the skull when they are misshapen due to craniosynostosis. Fronto-orbital advancement (FOA) refers to advancing the forehead and eyebrow region forward in patients in whom those regions are recessed.

Facial Bipartition

Facial bipartition is surgery performed by a plastic surgeon and a neurosurgeon to reposition the entire face and to bring the orbits (bones holding the eyes) closer together. Patients who need this procedure may have hypertelorbitism, Apert syndrome, Crouzon syndrome or craniofrontonasal dysplasia.

LeFort 3 Distraction

LeFort 3 distraction is surgery to reposition the cheek bones, orbits and upper jaw. Distraction means the bones are moves slowly over several weeks, in order to achieve a larger movement and less relapse. LeFort 3 distraction can improve obstructive sleep apnea and reduce exorbitism.

Orthognathic Surgery

The purpose of orthognathic surgery is to reposition the upper jaw, the lower jaw or the chin. There are several procedures that fall under the category of orthognathic surgery including LeFort 1, bilateral sagittal splint osteotomy (BSSO) and genioplasty. Two or three operations may be combined.