A modified fixation method in supraorbital bar advancement

In almost all congenital craniofacial deformity reconstructions there is a need to advance the supraorbital bar. This bar, which is fixed by several t echniques, should be firm enough to minimize a relapse. In this paper a new modification during osteotomy of the supraorbital bar is presented that pr ovides firmness and prevents relapse even without grafts, The last 15 patie nts with craniofacial anomalies were operated with this modification. At th e stage of the supraorbital bar osteotomy, bilateral small triangles are cr eated at the end of the bar. Then, on the lateral orbital rim,two small not ches are created in which to place these triangles. By fixating these trian gles to the notches, sliding of the bar and subsequent relapse is prevented , and also the fixation provided is much more rigid.