An Elderly Patient with Crouzon Syndrome Treated with Monobloc Distraction

Ko Nakao, Yoshiaki Sakamoto, Tomoru Miwa, Kenichiro Wakabayashi, Takenobu Ishii, Kazuo Kishi

Research output: Contribution to journalArticlepeer-review


Monobloc advancement by distraction osteogenesis is the treatment of choice in patients with syndromic craniosynostosis. This procedure is usually performed at 18 to 24 months/5 to 10 years of age. Herein, we present the case of a male patient with Crouzon syndrome who underwent monobloc advancement at the age of 62 years. Although the patient lived a normal life (employed, married, and being a father of a daughter), he visited our hospital for surgical improvement in facial esthetics. The patient underwent monobloc advancement by distraction osteogenesis. He was satisfied with the postoperative esthetic improvement and did not experience any major complications. This case highlights the fact that patients with syndromic craniosynostosis desire esthetic improvement and suggests that multidisciplinary treatment involving both the neuro and plastic surgeons is important in such cases.

Original languageEnglish
Pages (from-to)E871-E874
JournalJournal of Craniofacial Surgery
Issue number8
Publication statusPublished - 2022 Nov 1


  • Crouzon syndrome
  • distraction osteogenesis
  • facial esthetics
  • monobloc advancement
  • syndromic craniosynostosis

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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