Paine Kaitlyn Marie, Tahiri Youssef, Paliga J Thomas, Taylor Jesse A
From the Department of Plastic Surgery, The Children's Hospital of Philadelphia, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
J Craniofac Surg. 2015 Jan;26(1):214-6. doi: 10.1097/SCS.0000000000001255.
We present a case of multiplanar distraction osteogenesis for the simultaneous treatment of sagittal and unicoronal craniosynostosis in a nonsyndromic 2-month-old boy. Unilateral fronto-orbital advancement and sagittal suturectomy were performed. Distracters were fixed orthogonally in the sagittal and coronal positions to distract the affected coronal and sagittal sutures. The devices achieved 20 and 22 mm of advancement in the coronal and sagittal locations. A total intracranial volume increase of 62% was noted at 6 months' follow-up. This preliminary report demonstrates the procedure's short-term safety; future investigation is needed over the long term to determine its efficacy.
我们报告了一例采用多平面牵张成骨术同时治疗一名2个月大非综合征性男孩矢状缝和单冠状缝早闭的病例。实施了单侧额眶前移和矢状缝切除术。牵张器分别在矢状位和冠状位垂直固定，以牵张受影响的冠状缝和矢状缝。在冠状位和矢状位分别实现了20毫米和22毫米的前移。随访6个月时，颅内总体积增加了62%。这份初步报告证明了该手术的短期安全性；需要进行长期的进一步研究以确定其疗效。
