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我们采用全颅骨重塑“竹器法”的25年随访结果。

Twenty-five-years follow-up results of our total cranial reshaping "bamboo-ware method".

作者信息

Nakajima Hideo, Sakamoto Yoshiaki, Tamada Ikkei

机构信息

Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo, 160-8582, Japan,

出版信息

Childs Nerv Syst. 2014 Jan;30(1):161-4. doi: 10.1007/s00381-013-2199-0. Epub 2013 Jul 7.

DOI:10.1007/s00381-013-2199-0
PMID:23832073
Abstract

PURPOSE

For patients with craniosynostosis, there is no single procedure available for reconstructing a normal cranial shape, regardless of the type of deformity. To achieve ideal dynamic total skull remodeling for any type of craniosynostosis, we developed the bamboo-ware method.

METHODS

Using two or three coronal bars as landmarks, the anterior-posterior length of the skull was determined using the sagittal bandeau, thereby creating the basic framework for reconstruction. Bone was then bridged to the remaining defects in a manner resembling woven bamboo.

RESULTS

We treated 30 craniosynostosis patients (20 isolated cases and 10 cases of syndromic craniosynostosis) using the bamboo-ware method. Although intracranial infection was observed in three cases during the postoperative period, no deaths or serious complications were noted. In all patients, good cranial shape and adequate cranial volume were achieved.

CONCLUSIONS

The bamboo-ware method enabled outstanding results for every type of synostosis. This method could not only treat the deformity, but also resulted in good cranial form with a single operation.

摘要

目的

对于颅缝早闭患者,无论畸形类型如何,目前尚无单一手术方法可重建正常颅骨形状。为实现针对任何类型颅缝早闭的理想动态全颅骨重塑,我们开发了竹制品法。

方法

以两根或三根冠状杆为标志,使用矢状带确定颅骨的前后长度,从而创建重建的基本框架。然后以类似编织竹子的方式将骨桥接至剩余缺损处。

结果

我们使用竹制品法治疗了30例颅缝早闭患者(20例孤立性病例和10例综合征性颅缝早闭病例)。尽管术后有3例出现颅内感染,但未观察到死亡或严重并发症。所有患者均获得了良好的颅骨形状和足够的颅腔容积。

结论

竹制品法对每种类型的颅缝早闭均取得了出色效果。该方法不仅能治疗畸形,还可通过一次手术获得良好的颅骨形态。

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