Plastic and Reconstructive Surgery Global Open · 6 authors, 2 centres
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This retrospective case report describes three generations of a family with Crouzon syndrome, illustrating the evolution of surgical techniques for syndromic midface deficiency from monobloc osteotomy to distraction-based approaches. The introduction of gradual distraction devices significantly reduced complication rates compared with traditional osteotomy methods.
This IRB-approved retrospective study describes three individuals with Crouzon syndrome from one family spanning three generations, each treated by a different generation of craniofacial surgeon. The report traces the historical evolution of surgical correction for syndromic midface hypoplasia. The introduction of gradual distraction osteogenesis by McCarthy et al in 1992, followed by external distraction monobloc advancement by Polley et al in 1995 and the rigid external distraction (RED) device in 1998, allowed controlled, individualized adjustments with soft tissue stretching and simultaneous bone generation. The report provides a historical narrative rather than comparative effectiveness evidence.
