Frontoorbital reconstruction.

The care of the patient with craniosynostosis is perhaps the most challenging problem in craniofacial surgery. The syndromes vary in their presentation and severity; however, many of the structural and functional sequelae have common characteristics. The multifaceted medical problems of these children are particularly well suited to a multidisciplinary team approach to their care. The surgeons must be aware of the most pressing health concerns of these patients and incorporate those concerns into a well-formulated phased plan of comprehensive reconstruction. The overall goals of treatment of syndromic and nonsyndromic craniosynostosis continually should guide the care of these exceptional children. Those goals are to provide a predictable and durable reconstruction that restores facial form, reestablishes symmetry, attains the best results in the least number of operations, and infuses the patient with a sense of emotional and physical health.