Carter Lachlan M, Varley Iain, Smith Ian M, Chumas Paul, Liddington Mark, Russell John L
Craniofacial Surgery, Leeds General Infirmary, Leeds, England.
J Craniofac Surg. 2013 Jan;24(1):195-6. doi: 10.1097/SCS.0b013e318260edc1.
Fronto-orbital advancement is an established method for correction of metopic and coronal craniosynostoses. Many techniques involve creation of a single fronto-orbital bar that is then shaped with osteotomies with or without bone grafting. We present a technique that minimizes osteotomy of the frontal bar and gives superior lateral brow aesthetics.Standard fronto-orbital bar bone cuts are made without a midline osteotomy. Selective inner table corticectomy of the fronto-orbital bar allows the bone to become malleable without greensticking. The need for osteotomy of the fronto-orbital bar is obviated. An additional bandeau is created from the temporoparietal calvaria. The malleable fronto-orbital bar is then fixed to this bandeau. The frontal bar and bandeau complex is then advanced in a conventional manner. The remaining frontal calvaria is then rotated creating a more vertical forehead.This technique has been used in Leeds for more than 10 years with good cosmetic results. It has become our standard method for management of the fronto-orbital bar in correction of nonsyndromic metopic and coronal craniosynostoses.
额眶前移术是一种用于矫正额缝和冠状缝早闭的成熟方法。许多技术涉及制作单个额眶杆，然后通过截骨术对其进行塑形，截骨时可进行或不进行植骨。我们介绍一种技术，该技术可尽量减少额骨杆的截骨，并能提供更出色的外侧眉部美学效果。
标准的额眶杆截骨在不进行中线截骨的情况下进行。对额眶杆进行选择性内板皮质切除术可使骨变得有柔韧性而不会出现青枝骨折。这样就无需对额眶杆进行截骨。从颞顶颅骨创建一个额外的头带。然后将可塑形的额眶杆固定到这个头带上。接着以传统方式推进额骨杆和头带复合体。然后旋转剩余的额部颅骨，形成更垂直的额头。
该技术在利兹已经使用了10多年，取得了良好的美容效果。它已成为我们在矫正非综合征性额缝和冠状缝早闭时处理额眶杆的标准方法。
