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额眶前移术治疗先天性斜头畸形

Frontal-orbital advancement for the management of anterior plagiocephaly.

作者信息

Matushita Hamilton, Alonso Nivaldo, Cardeal Daniel Dante, de Andrade Fernanda

机构信息

Pediatric Neurosurgery Division, Department of Neurosurgery, University of São Paulo School of Medicine, São Paulo, São Paulo, Brazil.

出版信息

Childs Nerv Syst. 2012 Sep;28(9):1423-7. doi: 10.1007/s00381-012-1765-1. Epub 2012 Aug 8.

Abstract

PURPOSES

The main purposes of this manuscript are to provide an overview of various modalities of surgical correction of anterior plagiocephaly and to emphasize their differences with the classic open frontal-orbital advancement.

METHODS AND RESULTS

Advancement of technology provides development of many other ways to achieve the same results. The authors describe the classic open frontal-orbital advancement and compare with other proposed techniques for correction of frontal plagiocephaly. The main limitation of the use of new forms of treatment of the anterior plagiocephaly is the age of the patient. There is still no consensus on criteria for quantitative evaluation of surgical results, and new forms of treatment do not present results with long follow-up.

CONCLUSION

Frontal-orbital advancement is the preferred procedure to correct unicoronal synostosis due to its universal indication regardless of the age and degree of deformation of the anterior plagiocephaly.

摘要

目的

本手稿的主要目的是概述各种手术矫正前斜头畸形的方式,并强调它们与经典开放性额眶前移术的差异。

方法与结果

技术的进步带来了许多其他实现相同效果的方法的发展。作者描述了经典开放性额眶前移术,并与其他用于矫正额斜头畸形的提议技术进行比较。前斜头畸形新治疗方式使用的主要限制因素是患者年龄。对于手术结果的定量评估标准仍未达成共识,并且新治疗方式没有长期随访的结果。

结论

额眶前移术是矫正单冠缝早闭的首选手术方法,因为无论前斜头畸形的年龄和变形程度如何,它都具有广泛的适应症。

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