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单侧冠状缝早闭(斜头畸形)患者颌面部畸形的矫正:一例病例报告及文献综述

Correction of maxillofacial deformities in a patient with unilateral coronal craniosynostosis (plagiocephaly): a case report and a review of literatures.

作者信息

Khorasani Mansour, Barzi Mohsen Hasani, Derakhshan Bahman

机构信息

Associated Professor of Oral and Maxillofacial Surgery Department, School of Dentistry, Qazvin University of Medical Sciences, Qazvin, Iran.

Assistant Professor of Neurosurgery Deptartment, School of Medicine. Qazvin University of Medial Sciences, Qazvin, Iran.

出版信息

J Dent (Tehran). 2013 Sep;10(5):478-86. Epub 2013 Sep 30.

Abstract

Plagiocephaly (oblique skull) is premature fusion of one of the coronal sutures. Frontal plagiocephaly is a rare congenital deformity in the skull that is the most complicated form of craniosynostosis to treat. Examination of all sutures is necessary for diagnosis of craniosynostosis In this article, a 10-month-old, healthy girl with deformity of the right forehead and orbit that is caused by frontal plagiocephaly and coronal unilateral synostosis is presented. This abnormality was corrected by frontal craniotomy and fronto-orbital complex advancement under general anesthesia. An exact clinical and radiographic (Multislice CT scan with 3-dimensional three dimensional reconstruction) examination with the suitable time of surgery is necessary for diagnosis of skull abnormality and prevention of treatment delay. Furthermore, 3D stereo-photo-grammetry is a radiation-free, non invasive method for evaluating the growth pattern of children in long term.

摘要

斜头畸形(颅骨倾斜)是冠状缝之一过早融合。额部斜头畸形是一种罕见的先天性颅骨畸形,是治疗最为复杂的颅缝早闭形式。诊断颅缝早闭需要检查所有缝线。本文介绍了一名10个月大、健康的女孩,其右前额和眼眶畸形由额部斜头畸形和冠状缝单侧早闭引起。在全身麻醉下通过额部开颅术和额眶复合体前移矫正了这种异常。精确的临床和影像学检查(多层CT扫描及三维重建)以及合适的手术时机对于颅骨异常的诊断和防止治疗延误是必要的。此外,三维立体摄影测量法是一种无辐射、非侵入性的长期评估儿童生长模式的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31bb/4025421/2e11fe31534b/jod-10-478f1.jpg

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