When your child is 7 to 10 years old, we do an operation to move your child’s midface forward so they can breathe and chew more easily. It improves how their face looks, especially when viewed from the front. The operation also protects their eyes. It is called segmental subcranial distraction.
Our team developed segmental subcranial distraction to treat symptoms and appearance more effectively than the traditional approach (Le Fort III midface advancement). Our Craniofacial Center is the first to use this method. Surgeons around the world are now adopting it.
Segmental subcranial distraction moves bones in the midface different amounts and in different directions. It lengthens the central face and nose and levels the eyes. As a result, the proportions of the face are more normal.
In a study published in the journal of the American Society of Plastic Surgeons, our team showed that this procedure is more effective in normalizing facial proportions than the Le Fort III procedure.
Read about how segmental subcranial distraction helped James.
BEFORE (Left): The middle of this boy's face did not grow well because of Apert syndrome. His forehead is high and flat. His cheekbones are sunken. His jaws do not fit together right.
AFTER (Right): As a result of segmental subcranial distraction, the boy's cheekbones have been moved forward. His nose, upper jaw and teeth have moved forward and down. His face is longer and looks more typical. His teeth fit together better.
His upper jaw is finished growing, but his lower jaw will keep growing for several years. At maturity, the jaws will be a good fit.