Burstein Fernando, Eppley Barry, Hudgins Roger, Williams Joseph, Boydston William, Reisner Andrew, Stevenson Kevin
Division of Plastic and Reconstructive Surgery University of Indiana, Indianapolis, USA.
J Craniofac Surg. 2006 Mar;17(2):241-5. doi: 10.1097/00001665-200603000-00007.
Frontal orbital advancement (FOA), is the procedure of choice in treatment of coronal and metopic synostosis. Resorbable plates and screws have been widely accepted for use in pediatric craniofacial surgery, including FOA. We have applied the concept of extended resorbable spanning plates to FOA for metopic, unilateral, and bilateral coronal synostosis in infants and children during a 5-year period. We report on 60 patients, ages 4 to 15 months (mean, 7 months); 28 girls, 32 boys. Follow-up ranged from 12 to 36 months (mean, 24 months). There were no structural failures, no infections, and no complications related to the use of extended spanning plates. Extended spanning plates decrease mobility between bone segments, confer greater stability to the construct, and reduce both the number of plates and of screws that are necessary and reduce the operative time. Application of these plates simplifies FOA surgery and represents a step in the evolution of plating technology.
额眶前移术（FOA）是治疗冠状缝和额缝早闭的首选手术方法。可吸收接骨板和螺钉已被广泛应用于小儿颅面外科手术，包括额眶前移术。在5年的时间里，我们将延长可吸收跨接板的概念应用于婴儿和儿童的额缝、单侧和双侧冠状缝早闭的额眶前移术中。我们报告了60例患者，年龄在4至15个月之间（平均7个月）；其中女孩28例，男孩32例。随访时间为12至36个月（平均24个月）。没有出现与使用延长跨接板相关的结构失败、感染及并发症。延长跨接板减少了骨段之间的活动度，使结构更稳定，减少了所需接骨板和螺钉的数量，并缩短了手术时间。这些接骨板的应用简化了额眶前移术，代表了接骨板技术发展的一个阶段。
