Craniofacial Center

Craniofacial Rotation Osteotomy

Craniofacial Rotation Osteotomy A Counterclockwise Craniofacial Rotation Osteotomy procedure, sometimes known as counterclockwise craniofacial rotation osteogenesis (C3DO), is performed to improve airway flow and jaw position mainly in children or adults with Treacher Collins or other craniofacial syndromes. Many of these patients have a breathing tube inserted into their windpipe (tracheostomy) and have it in place for many years. The new procedure’s goal is to successfully remove the tube (also known as a trach). The procedure has seen improved results than the traditional treatment because it combines two separate procedures: mandible distraction and Le Fort II nasomaxillary advancement. Surgeons separate both jaws from the scull, attach a U-shaped headframe, and attach a metal distractor to be adjusted at home. This combined surgery helps open the patient’s airway. Craniofacial rotation osteotomy is a full-day operation. With removal patients may also see an improvement in facial features.

UI Health’s expert craniofacial surgeons performed one of the first successful Craniofacial Rotation Osteotomy procedures in the Midwest.