THE MONOBLOC FRONTOFACIAL ADVANCEMENT - DO THE PLUSES OUTWEIGH THE MINUSES

The results of 32 patients who underwent transcranial monobloc frontof acial advancement by the senior author (Wolfe) are examined. Fifteen o f the patients were Crouzon's, and 17 were Apert's, 14 of whom also un derwent simultaneous facial bipartition. The ages ranged from 7 months to 14 years. Although a transcranial facial advancement carries with it substantial risks, with careful consideration of airway control, th e anterior cranial base dura, and the retrofrontal dead space, the pro cedure is recommended for carefully selected patients. The indications and contraindications for the procedure in various age groups are giv en.