Three-dimensional assessment of outcomes of surgical midface advancement in syndromic craniosynostosis: A systematic review.

Le Fort III surgical procedures are used for midface advancement in patients with syndromic craniosynostosis. Three-dimensional (3D) computed tomography (CT) offers significant advantages in planning and evaluating surgical outcomes. It aids in determining the appropriate surgical procedure and assessing the desired and achieved degree of advancement before and after surgery with greater detail. However, to date, systematic reviews have assessed the outcome of midface advancement surgeries using traditional investigation methods such as two-dimensional radiographs. The current systematic review uses 3D assessments to assess post-surgical outcomes after midface advancement with Le Fort III surgeries. Six databases were electronically searched from their initiation through January 2024. Two reviewers performed study selection, risk of bias assessment, and data extraction. After a comprehensive electronic search, ten publications were selected for this review including seven case series and three cohort studies. Overall, the findings suggested that 3D assessment evaluates the segment movement in all dimensions and provides a detailed description of asymmetrical movements. Greater advancement was achieved with the distraction osteogenesis procedures and these movements were found to be stable. Long-term follow-up with 3D measurements is required to determine the stability of the midface advancement after surgery and further growth.