Bohluli Behnam, Consky Elizabeth, Sarkarat Farzin, Abdolhoseinpour Hesam
Visiting Professor, Department of Oral and Maxillofacial Surgery, University of Toronto, Toronto, ON, Canada; Associate Professor, Department of Oral and Maxillofacial Surgery, Craniomaxillofacial Research Centre, Buali Hospital, Islamic Azad University, Tehran, Iran.
Resident, Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
J Oral Maxillofac Surg. 2019 Jun;77(6):1276.e1-1276.e6. doi: 10.1016/j.joms.2019.02.003. Epub 2019 Feb 12.
Meningoencephlocele is a relatively rare deformity, usually characterized by penetration of brain or meningeal tissues through a defect in skull. This protruding tissue may affect facial structure and subtle to severe facial deformities may appear. Surgical treatments of these deformities are usually done by a team including a neurosurgeon and craniofacial surgeon. The conventional treatments includes several complicated operations to relocate herniating tissues, then correcting malformed facial structure. The nasal framework osteotomy, is an innovative approach that uses transfacial incisions to gain access to herniating tissue. Then, by completing the osteotomy around the nose, the entire nasal structure is lifted and transposed to it is original position. The authors believe that this technique may considerably reduce the complexity and risks of conventional approaches, while aesthetic demands are readily achieved at the same stage.
脑膜脑膨出是一种相对罕见的畸形，通常表现为脑或脑膜组织通过颅骨缺损处穿出。这种突出的组织可能会影响面部结构，进而可能出现从轻微到严重的面部畸形。这些畸形的外科治疗通常由包括神经外科医生和颅面外科医生在内的团队进行。传统治疗包括几次复杂的手术，先重新定位疝出组织，然后矫正畸形的面部结构。鼻框架截骨术是一种创新方法，它通过经面部切口来处理疝出组织。然后，通过完成鼻子周围的截骨术，将整个鼻结构提起并复位到其原始位置。作者认为，这种技术可以大大降低传统方法的复杂性和风险，同时在同一阶段很容易满足美学需求。
