Nishimoto Soh, Oyama Tomoki, Shimizu Fumiaki, Tsugawa Tomoe, Nagashima Tatsuya, Yamamoto Kazuki, Kamiji Takashi, Kanomi Ryuzo
Department of Plastic Surgery, Kobe Children's Hospital, Hyogo, Japan.
J Craniofac Surg. 2004 Jan;15(1):54-9. doi: 10.1097/00001665-200401000-00017.
Fronto-facial monobloc advancement is one of the most rewarding procedures for upper and mid-face reconstruction in patients with craniosynostosis. However, it has challenging aspects. Epidural abscess and frontal bone necrosis after retrofrontal dead space is one of the major complications and has led many experienced surgeons not to continue with the procedure. Bone distraction can play a great role in preventing these problems. The Rigid External Distraction (RED-II) system is a external distraction device using the cranium as an anchorage point. In two craniosynostosis cases, fronto-facial monobloc advancement with the system was performed. Controllability of the monobloc segment increased significantly. Operative time and blood loss were lessened. No major complications were experienced.
额面部整块推进术是治疗颅缝早闭患者上中面部重建最有效的手术方法之一。然而，该手术也存在一些挑战。额后死腔形成后的硬膜外脓肿和额骨坏死是主要并发症之一，导致许多经验丰富的外科医生不再继续采用该手术方法。骨牵引在预防这些问题方面可发挥重要作用。刚性外部牵引（RED-II）系统是一种以颅骨为锚固点的外部牵引装置。在两例颅缝早闭病例中，采用该系统进行了额面部整块推进术。整块骨段的可控性显著提高。手术时间缩短，出血量减少。未出现重大并发症。
