Satoh Kaneshige, Mitsukawa Nobuyuki, Hayashi Ryuhji, Hosaka Yoshiaki
Department of Plastic and Reconstructive Surgery, Showa University, School of Medicine, Tokyo, Japan.
J Craniofac Surg. 2004 Nov;15(6):953-9. doi: 10.1097/00001665-200411000-00012.
Unicoronal synostotic plagiocephaly is routinely treated by intracranial wide frontal and bilateral supraorbital reshaping. Recent advancement of distraction osteogenesis in craniofacial surgery has extended to patients with craniosynostosis. Although a controversy remains between conventional osteotomy and reshaping and application of the distraction technique in surgical treatment of craniosynostosis, there have been several positive clinical reports on distraction techniques for nonsyndromic and syndromic craniosynostosis. Unicoronal distraction applied successfully to a case of frontal plagiocephaly has been described. The authors report a procedure: hybrid of unilateral frontal distraction and supraorbital reshaping on the affected side for frontal synostotic plagiocephaly. This procedure was conducted on four typical unicoronal synostotic plagiocephaly cases (patient age range, 9-14 months; all patients female) with successful results. No particular complications were encountered in any of the four cases with a follow-up period that ranged from 18 to 53 months.
单侧冠状缝早闭性斜头畸形通常采用颅内广泛额部和双侧眶上重塑术进行治疗。颅面外科中牵张成骨技术的最新进展已扩展至颅缝早闭患者。尽管在颅缝早闭的手术治疗中，传统截骨术、重塑术与牵张技术的应用之间仍存在争议，但已有多篇关于非综合征性和综合征性颅缝早闭牵张技术的阳性临床报告。已有成功将单侧冠状缝牵张应用于一例额部斜头畸形病例的描述。作者报告了一种手术方法：对额缝早闭性斜头畸形采用患侧单侧额部牵张与眶上重塑相结合的方法。该手术对4例典型的单侧冠状缝早闭性斜头畸形病例（患者年龄范围为9至14个月；所有患者均为女性）实施，效果良好。4例患者在18至53个月的随访期内均未出现特殊并发症。
