Kamoshima Yuuta, Sawamura Yutaka, Yoshino Masami, Kawashima Kunihiro
Department of Neurosurgery, Hokkaido University Hospital, Kita-ku, Sapporo 060-8638, Japan.
J Pediatr Surg. 2008 Oct;43(10):1944-8. doi: 10.1016/j.jpedsurg.2008.06.018.
For children with craniosynostosis presenting intracranial hypertension and facial hypoplasia, different techniques have been used. Commonly, an initial frontoorbital advancement to expand a tight cranium volume was followed by Le Fort III osteotomy to repair midface abnormalities several months later. The 2-stage surgeries were unified into a 1-step procedure to optimize treatment. We here report results of frontofacial monobloc advancement, applying gradual distraction by a rigid external distraction device. Three patients were treated with excellent functional and cosmetic outcome with high rate of patient satisfaction. There was no remarkable complication.
对于患有颅缝早闭且伴有颅内高压和面部发育不全的儿童，已采用了不同的技术。通常，最初进行额眶前移以扩大狭窄的颅骨容积，几个月后再进行勒福Ⅲ型截骨术以修复面中部异常。将两阶段手术合并为一个单步手术以优化治疗。我们在此报告采用刚性外部牵张装置进行渐进性牵张的整块额面前移术的结果。3例患者接受治疗后功能和美容效果极佳，患者满意度很高。未出现明显并发症。
