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三角头畸形手术矫正的改良方法。

Modifications in the surgical correction of trigonocephaly.

作者信息

Sadove A M, Kalsbeck J E, Eppley B L, Javed T

机构信息

Division of Plastic and Reconstructive Surgery, Riley Hospital for Children, Indianapolis, Ind.

出版信息

Plast Reconstr Surg. 1990 Jun;85(6):853-8. doi: 10.1097/00006534-199006000-00003.

DOI:10.1097/00006534-199006000-00003
PMID:2349291
Abstract

A modified technique for the surgical correction of trigonocephaly is presented. The technical modifications are designed both to increase the stability of fixation of the supraorbital bar and lateral canthal advancements and to increase interorbital distance and anterior cranial fossa volume when utilized in those patients who exhibit the full expression of trigonocephaly, including midline ridging, bifrontal recession, hypotelorbitism, shortened anterior cranial fossa, deficient projection of lateral orbit, and bitemporal narrowing. It is a modification of the supraorbital bar remodeling/advancement procedure as originally described by Marchac with the introduction of a nasofrontal osteotomy and superior osteotomy bone graft and midline miniplate fixation of the supraorbital bar to the nasofrontal junction. Its use in 20 patients has been favorable.

摘要

本文介绍了一种用于三角头畸形手术矫正的改良技术。这些技术改良旨在提高眶上杆固定和外眦推进的稳定性,并在用于表现出三角头畸形全部特征的患者时增加眶间距和前颅窝容积,这些特征包括中线隆起、双额部凹陷、眶距过窄、前颅窝缩短、外侧眶投影不足和双侧颞部变窄。它是对Marchac最初描述的眶上杆重塑/推进手术的改良,引入了鼻额截骨术、 superior osteotomy骨移植以及眶上杆至鼻额交界处的中线微型钢板固定。其在20例患者中的应用效果良好。 (注:原文中superior osteotomy可能有误,推测可能是“额上截骨术”之类的意思,但按要求未加解释)

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