Wexler M R, Neuman A, Umanski F, Weinberg A, Ben Meir P, Sela M, Peer Y, Kadary A
Dept. of Plastic Surgery, Hadassah-University Hospital, Jerusalem.
Harefuah. 1992 Feb 2;122(3):146-52.
Our craniofacial surgery team includes experts from the following fields: plastic surgery, neurosurgery, ophthalmology, genetics, neurology, orthodontics, pedodontics, facial rehabilitation, psychiatry, social work, anesthesiology and intensive care. Craniofacial surgery became to a large extent pediatric surgery, following evidence that careful, early surgery does not impair growth and that development following surgery is almost normal. The malformations that were repaired included those of the Crouzon and Apert syndromes, requiring frontal remodelling and advancement of the middle third of the facial skeleton; hypertelorism in which orbits were moved to the midline; large craniofacial clefts in which the hemiface from either side was moved to the midline; and different types of craniostenosis in which frontal advancement and remodelling with reconstruction of the vault was performed. The series consisted of 78 patients who presented between 1979-1989. 3 illustrative cases are described.
整形外科、神经外科、眼科、遗传学、神经学、正畸学、儿童牙科学、面部康复、精神病学、社会工作、麻醉学和重症监护。有证据表明，精心的早期手术不会影响生长，且术后发育几乎正常，在此之后，颅面外科在很大程度上成为了小儿外科。所修复的畸形包括克鲁宗综合征和阿佩尔综合征，需要进行额部重塑和面部中三分之一骨骼的前移；眶距增宽症，即眼眶移至中线；大型颅面裂，即从两侧将半侧面部移至中线；以及不同类型的颅缝早闭，即进行额部前移、重塑以及颅顶重建。该系列病例包括1979年至1989年间就诊的78例患者。文中描述了3个典型病例。
