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纤维性发育不良中的颅面外科手术。

Craniofacial surgery in fibrous dysplasia.

作者信息

Giordano Flavio, Serio Paola, Savasta Salvatore, Oliveri Giuseppe, Genitori Lorenzo

机构信息

Department of Neurosurgery, Anna Meyer Pediatric Hospital, Firenze, Italy.

出版信息

J Pediatr Endocrinol Metab. 2006 May;19 Suppl 2:595-604. doi: 10.1515/jpem.2006.19.s2.595.

Abstract

Cranio-orbital fibrous dysplasia usually causes proptosis, visual loss, ocular motility impairment and cosmetic deformity. The goals of cranial fibrous dysplasia management are to preserve neurological functions and improve cosmesis. Strict neurological and ophthalmological follow-up and early cranio-facial surgery enables non-aggressive treatment without significant morbidity. Furthermore, good results are achieved thanks to new techniques and materials especially in children and adolescents. The aim of the present paper is to discuss surgical indications, techniques and outcomes of cranio-facial-orbital fibrous dysplasia on the basis of personal experience of 14 patients who underwent surgery.

摘要

颅眶纤维发育不良通常会导致眼球突出、视力丧失、眼球运动障碍和外观畸形。颅骨纤维发育不良的治疗目标是保留神经功能并改善外观。严格的神经科和眼科随访以及早期颅面手术能够实现非侵袭性治疗且并发症较少。此外,尤其是在儿童和青少年中,新技术和材料取得了良好效果。本文旨在根据14例接受手术患者的个人经验,探讨颅面眶纤维发育不良的手术指征、技术和结果。

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