Muhammad Joseph Kamal, Al Hashimi Bader Abdulla, Al Mansoor Abu Bakr, Ali Iqbal
Maxillofacial Surgery Service, Al Rahba Hospital, Shahama.
Maxillofacial Surgery Service, Mafraq Hospital, Abu Dhabi, United Arab Emirates.
Craniomaxillofac Trauma Reconstr. 2013 Mar;6(1):49-56. doi: 10.1055/s-0032-1332208. Epub 2013 Jan 18.
The rehabilitation of children affected by early traumatic facial deformity is a challenge for both the craniofacial team and the child's family. Although the immediate goals of surgery are to restore both form and function, the psychological needs of the growing child must also be addressed. Early surgery may be required to assist integration of the child into the community and thereby avert both social isolation and stigmatization of the child. Timed correctly, such surgery has the potential to harness the patient's own growth to assist in correction of the deformity and to maintain some of the surgical gains. The use of autogenous tissue rather than nondegradable implants to facilitate craniofacial reconstruction in the growing child avoids some of the concerns associated with permanent implants. These include both their potential to adversely affect growth and to migrate. The purpose of this article is to illustrate how advances in tissue adhesion using protein polymers (BioGlue(®); CryoLife, Inc., Kennesaw, GA) and bone regeneration techniques (distraction osteogenesis) have been used to correct the disfiguring and functional problems associated with unilateral temporomandibular joint ankylosis acquired in early childhood.
对受早期外伤性面部畸形影响的儿童进行康复治疗，对颅面治疗团队和患儿家庭来说都是一项挑战。尽管手术的直接目标是恢复外形和功能，但成长中儿童的心理需求也必须得到关注。可能需要早期手术来帮助儿童融入社区，从而避免儿童出现社会隔离和受歧视的情况。如果时机把握得当，此类手术有可能利用患者自身的生长来辅助矫正畸形，并维持部分手术效果。在成长中的儿童进行颅面重建时，使用自体组织而非不可降解的植入物，可避免一些与永久性植入物相关的问题。这些问题包括它们对生长产生不利影响以及发生移位的可能性。本文的目的是说明如何利用蛋白质聚合物（BioGlue®；CryoLife公司，佐治亚州肯尼索）在组织黏附方面的进展以及骨再生技术（牵张成骨术）来矫正与儿童早期获得性单侧颞下颌关节强直相关的毁容和功能问题。
