infection can still occur. Therefore, the patient should be followed up regularly for a long term.Ideally, the patient should have undergone the advancement procedure in his early life. However, there were few or no plastic surgeons who could perform midface surgery in Japan at that time. Neurosurgeons were in charge of such treatments only from the viewpoint of pursuing better functional outcomes. The esthetic component is usually left untreated. A recent study on long-term outcomes of syndromic craniosynostosis reported that patients with Crouzon syndrome have poor quality of life, which is related to their facial appearance. 11,12 Although any questionnaire regarding quality of life was applied for this patient, we believe his quality of life improved after the operation.In conclusion, a 62-year-old Crouzon syndrome patient successfully underwent monobloc advancement. However, this older patient had poor bone regeneration and the brain did not expand enough unlike in young age. Such a case of an older patient might be rare. However, it is the mission of craniofacial surgeons to give normal facial appearance to these patients at an appropriate age and help them improve their social life.
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