Fearon Jeffrey A
Craniofacial Center, Dallas, Texas 75230, USA.
J Craniofac Surg. 2008 Jul;19(4):1180-2. doi: 10.1097/SCS.0b013e3181764b3e.
The ubiquitous tongue and groove osteotomy remains the standard for treating the anterior craniosynostoses, despite the fact that significant variations in three-dimensional fronto-orbital dystopia can occur with various sutural fusions. Four variations on bandeau design are described that allow surgeons to go beyond a simple forward advancements toward a precise three-dimensional positioning (forward advancement, vertical repositioning, and medial narrowing), or allowing the avoidance of sinus crossing osteotomies that can potentially reduce infection risk. These osteotomy designs permit more accurate positioning of the supraorbits; they are also structurally and inherently stable, offering surgeons greater latitude in fixation techniques.
尽管不同的缝合融合可能导致三维额眶发育不良出现显著差异，但无处不在的榫槽截骨术仍是治疗前颅缝早闭的标准方法。本文描述了四种头带设计的变体，这些变体使外科医生能够超越简单的向前推进，实现精确的三维定位（向前推进、垂直重新定位和内侧变窄），或者避免可能降低感染风险的鼻窦交叉截骨术。这些截骨术设计能够更精确地定位眶上缘；它们在结构上也具有内在稳定性，为外科医生在固定技术方面提供了更大的灵活性。
