Shen Wei-min, Wang Gang, Cui Jie, He Jun-ping, Chen Jian-bing
Craniofacial Surgery Department of Nanjing Children Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2007 Nov;23(6):459-62.
Treatments of unilateral lambdoid synostosis and unilateral coronal synostosis.
Approach to coronal, double frontal flaps were rotated with orbit advancement and anteversion of the frontal to enlarge the volume of ante cranial fossa., and reconstruct the contour of orbit and the frontal. The gap was between the frontal and parietal to reconstruct the coronal suture after fixation and reconstruction of the frontal os. For post plagiocephaly, double rotated occipital flap and plum-plasty flap were performed to reconstruct the occiput. The gap between the parietal and occiput was to reconstruct the lambdoid suture.
Eight cases have favourable prognosis with satisfactory contour.
It is optimal to use frontal flap rotation, orbit advancement and frontal anteversion to correct the unilateral coronal synostosis. Bilateral rotated occipital-parietal crossing flap and plum-plasty were performed to reconstruct the occiput. Keeping the gap between the parietal and occiput for reconstruction of the lambdoid suture is suitable to infant.
探讨单侧人字缝早闭和单侧冠状缝早闭的治疗方法。
采用冠状切口，双额瓣旋转并推进眶部、使额部前倾，以扩大前颅窝容积，重建眶部和额部轮廓。在固定并重建额骨后，于额骨与顶骨之间留间隙以重建冠状缝。对于斜头畸形，采用双旋转枕部皮瓣和菱形皮瓣重建枕部。在顶骨与枕骨之间留间隙以重建人字缝。
8例预后良好，外形满意。
采用额瓣旋转、眶部推进和额部前倾矫正单侧冠状缝早闭效果最佳。采用双侧旋转枕顶交叉皮瓣和菱形皮瓣重建枕部。在顶骨与枕骨之间留间隙重建人字缝适合于婴幼儿。
