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早发性颅缝早闭的颅骨后份扩大术:一种避免使用异体植入物或游离骨瓣的技术。

Posterior calvarial augmentation in premature craniosynostosis: a technique avoiding foreign implants or free bone flaps.

作者信息

Wagner Wolfgang, Schwandt Eike, Huthmann Alexandra, Vulcu Sonja, Tschan Christoph

机构信息

Section of Pediatric Neurosurgery, Department of Neurosurgery, Universitätsmedizin, Mainz, Germany.

出版信息

Childs Nerv Syst. 2010 Nov;26(11):1549-53. doi: 10.1007/s00381-010-1158-2. Epub 2010 May 2.

DOI:10.1007/s00381-010-1158-2
PMID:20437242
Abstract

BACKGROUND

A surgical technique of posterior calvarial augmentation without the use of plates or screws and avoiding the formation of free bone flaps is described.

DISCUSSION

Three infants with strong occipital flattening successfully underwent the procedure in their first year of life. There were no intra- or postoperative complications; the amelioration of the head shape and the cosmetic results in all three cases were convincing also in the long term.

CONCLUSION

The proposed surgical technique is both feasible and effective; it is recommended for infants with marked flat deformation of the posterior calvaria in the first year of life.

摘要

背景

本文描述了一种不使用钢板或螺钉且避免形成游离骨瓣的后颅骨扩大手术技术。

讨论

三名枕部明显扁平的婴儿在其出生后的第一年成功接受了该手术。术中及术后均无并发症;长期来看,所有三例的头部形状改善及美容效果均令人满意。

结论

所提出的手术技术既可行又有效;推荐用于出生后第一年有明显后颅骨扁平畸形的婴儿。

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本文引用的文献

1
Posterior calvarial vault expansion using distraction osteogenesis.使用牵张成骨术进行颅骨后穹窿扩张。
Childs Nerv Syst. 2009 Feb;25(2):231-6. doi: 10.1007/s00381-008-0758-6. Epub 2008 Dec 5.
2
Cranial growth after distraction osteogenesis of the craniosynostosis.颅缝早闭牵张成骨术后的颅骨生长
J Craniofac Surg. 2008 Jan;19(1):45-55. doi: 10.1097/SCS.0b013e31815c9510.
3
A simple technique for the correction of frontal bossing in synostotic scaphocephaly.一种用于矫正骨性舟状头畸形中额部隆起的简单技术。
Childs Nerv Syst. 2008 Mar;24(3):373-7. doi: 10.1007/s00381-007-0548-6. Epub 2008 Jan 4.
4
True lambdoid craniosynostosis: long-term results of surgical and conservative therapy.真性人字缝早闭:手术及保守治疗的长期结果
Plast Reconstr Surg. 2007 Sep 15;120(4):993-1003. doi: 10.1097/01.prs.0000278043.28952.e8.
5
Treatment of unilateral lambdoid synostosis with cranial distraction.颅骨牵张治疗单侧人字缝早闭
J Craniofac Surg. 2004 Jul;15(4):609-13. doi: 10.1097/00001665-200407000-00015.
6
Preliminary results of standardized occipital advancement in the treatment of lambdoid synostosis.标准化枕骨前移治疗人字缝早闭的初步结果。
J Craniomaxillofac Surg. 2002 Dec;30(6):343-8. doi: 10.1054/jcms.2002.0326.
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Management of craniosynostoses.颅缝早闭的治疗
Childs Nerv Syst. 2000 Nov;16(10-11):645-58. doi: 10.1007/s003810000320.
8
Occipital remolding for correction of scaphocephaly in the young infant. Technical note.枕骨重塑矫正婴幼儿舟状头畸形。技术说明。
J Neurosurg Sci. 1998 Jun;42(2):119-22.
9
Bilambdoid and posterior sagittal synostosis: the Mercedes Benz syndrome.双侧人字缝和后矢状缝早闭:梅赛德斯 - 奔驰综合征。
J Craniofac Surg. 1998 Sep;9(5):417-22. doi: 10.1097/00001665-199809000-00003.
10
[Standardized occipital advancement. A new method for therapy of lambda suture synostosis].[标准化枕骨前移。治疗枕骨缝早闭的一种新方法]
Mund Kiefer Gesichtschir. 1998 May;2 Suppl 1:S75-8. doi: 10.1007/PL00014486.