Demystifying the “Triple Point: ” Technical Nuances of the Fronto-Orbital Advancement

Removal of the fronto-orbital bandeau is one of the most critical components for procedures designed to correct anomalies of the craniofacial skeleton and remodel the anterior calvarial vault. It is also used to improve exposure of the anterior cranial fossa. It is arguably one of the more difficult portions of some craniofacial procedures. While the technique for fronto-orbito-sphenoid osteotomy has been frequently described, it has only been minimally detailed. Separation of bone in this region remains challenging due to the bone thickness, adjacent vital structures, and limited direct visibility. The present paper describes the anatomy of this particular region, which the authors have termed the "triple point", to facilitate successful osteotomy and avoid potential injury. Address correspondence and reprint requests to Peter J. Taub, MD, FACS, Professor, Surgery, Pediatrics, Dentistry, and Neurosurgery; Professor, Medical Education; Program Director, Plastic and Reconstructive Surgery; Chief, Craniomaxillofacial Surgery, Icahn School of Medicine at Mount Sinai; Chief, Pediatric Plastic Surgery, Kravis Children's Hospital, 5 East 98th Street, New York, NY 10029; E-mail: Peter.taub@mountsinai.org Received 2 March, 2017 Accepted 30 June, 2017 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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