[颅缝早闭症中额眶后缩的早期外科治疗]
[Early surgical management of fronto-orbital retrusion in craniosynostosis].
作者信息
Bo Bin, Persing John
机构信息
Department of Oral and Maxillofacial Surgery, College of Stomatology, The Fourth Military Medical University, Xi'an 710032, China.
出版信息
Zhonghua Kou Qiang Yi Xue Za Zhi. 2009 Jun;44(6):370-2.
OBJECTIVE
To discuss the early surgical treatment of fronto-orbital retrusion in craniosynostosis.
METHODS
Operative techniques including "C" fronto-orbital osteotomies and advancement, frontal radially oriented osteotomies and remoulding were performed to correct the fronto-orbital retrusion. Ten patients aged from 6-9 months were included. There were two metopic synostosis, three unilateral coronal synostosis, three bilateral coronal synostosis, one Apert syndromic synostosis and one Crouzon syndromic synostosis.
RESULTS
Fronto-orbital deformities of all patients were corrected. There were no complications happened in these patients. The post-operation results were kept well for 3-11 months follow-up in 8 cases.
CONCLUSIONS
Fronto-orbital osteotomies and advancement and frontal reshaping were effective to correct fronto-orbital retrusion in craniosynostosis.
目的
探讨颅骨缝早闭症中额眶后缩的早期手术治疗方法。
方法
采用包括“C”形额眶截骨术及前移术、额部放射状截骨术及重塑术等手术技术来矫正额眶后缩。纳入10例年龄在6至9个月的患者。其中有2例为额缝早闭，3例为单侧冠状缝早闭，3例为双侧冠状缝早闭，1例为Apert综合征性缝早闭，1例为Crouzon综合征性缝早闭。
结果
所有患者的额眶畸形均得到矫正。这些患者未发生并发症。8例患者在术后3至11个月的随访中效果良好。
结论
额眶截骨术及前移术和额部重塑术对于矫正颅骨缝早闭症中的额眶后缩有效。
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