Fronto-orbital advancement

Fronto-orbital advancement (age: 6-12 months)

Fronto-orbital advancement involves exposure of the upper eye socket and forehead.

Your child’s plastic surgeon makes an incision along the coronal suture at the front of the skull, and with the assistance of a neurosurgeon, performs a frontal craniotomy to release the involved sutures (growth seams) and elevate the forehead. The retruded supraorbital bar is then moved forward, bolstered with a cranial bone graft and secured with resorbable plates or sutures.

This procedure offers eye protection and creates room for brain growth. Depending on your child’s head shape before surgery, her surgeon will reshape the cranial vault as needed.

For children with eye exposure issues, fronto-orbital advancement is a first-stage procedure. Otherwise it is delayed as long as possible after posterior vault distraction, and may be performed when your child is older depending on the other surgical procedures she undergoes. In some cases, the procedure may be avoided and the condition managed with a monobloc distraction.

Fronto-orbital advancement surgery typically lasts about four to five hours, followed by an average hospital stay of four to five days for monitoring and recovery. As your child grows and develops, she may need additional procedures.