McIndoe-Cushing 17.5cm — Fronto-Orbital Advancement

McIndoe-Cushing 17.5cm — Fronto-Orbital Advancement

The 17.5cm-labelled McIndoe-Cushing serves fronto-orbital advancement surgery for craniosynostosis — the operation that reshapes the forehead and orbits in children whose skull sutures have closed prematurely. The procedure involves bone osteotomies (neurosurgical), brain-tissue protection (neurosurgical), and soft-tissue dissection and closure (plastic-surgical) — all in a 4-6 hour operation on a small child. The McIndoe-Cushing’s hybrid geometry serves all phases.

The craniosynostosis condition

Premature fusion of cranial sutures (sagittal, coronal, metopic, lambdoid, or combined) restricts skull growth and produces characteristic skull-shape abnormalities — scaphocephaly (sagittal), brachycephaly (coronal), trigonocephaly (metopic), and the more complex syndromic forms (Crouzon, Apert, Pfeiffer). Fronto-orbital advancement at 6-12 months of age remodels the forehead-orbital complex to a normal shape and provides space for brain growth. The procedure has transformed paediatric-craniofacial outcomes in the past 40 years.

The collaborative-operating-room workflow

The neurosurgeon performs the dural reflection and bone removal; the plastic surgeon performs the closure and any flap reconstruction. The McIndoe-Cushing forceps serves both surgeons at the same table.