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孤立性和复杂性颅缝早闭残余畸形的管理:颌面治疗手段有哪些?

Management of isolated and complex craniosynostosis residual deformities: What are the maxillofacial tools?

作者信息

Joly A, Croise B, Travers N, Listrat A, Pare A, Laure B

机构信息

Service de Chirurgie maxillo-faciale et Plastique de le Face, CHU Trousseau, Tours, 37044, France; Centre comptétence craniosténoses et malformations craniofaciales rares, CHU Clocheville, 37044 Tours, France; Faculté de médecine de Tours, Université de Tours, 2bis, boulevard Tonnellé, 37000 Tours, France.

Service de Chirurgie maxillo-faciale et Plastique de le Face, CHU Trousseau, Tours, 37044, France; Faculté de médecine de Tours, Université de Tours, 2bis, boulevard Tonnellé, 37000 Tours, France.

出版信息

Neurochirurgie. 2019 Nov;65(5):295-301. doi: 10.1016/j.neuchi.2019.09.009. Epub 2019 Sep 25.

Abstract

Treatment of craniosynostosis is complex and has greatly progressed in recent decades. From the early stages in the 1950s to today's most recent techniques, surgeons have faced the challenge of overcoming the deformities often caused by such invasive, complex surgeries. In the most recent years, new techniques have been developed that address surgical sequelae, including those of surgery performed in childhood. After a general introduction on craniosynostosis, the present paper describes the various types of deformity that may result from complex surgery and offers an overview of the various tools available to surgeons. An explanation of each indication and procedure is given.

摘要

颅缝早闭的治疗复杂,近几十年来有了很大进展。从20世纪50年代的早期阶段到如今的最新技术,外科医生一直面临着克服此类侵入性复杂手术常导致的畸形的挑战。近年来,已开发出应对手术后遗症的新技术,包括儿童期手术的后遗症。在对颅缝早闭进行总体介绍之后,本文描述了复杂手术可能导致的各种畸形类型,并概述了外科医生可用的各种工具。对每种适应症和手术方法都进行了解释。

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