Joos U
Director International Medical College, University Duisburg-Essen, Gartenstraße 21, 48147, Münster, Germany.
J Oral Biol Craniofac Res. 2022 Jan-Feb;12(1):4-12. doi: 10.1016/j.jobcr.2021.09.017. Epub 2021 Sep 29.
The classical treatment of craniosynostosis is based on the fundamental work by Tessier. However, developmental aspects suggest modified osteotomy lines like fronto orbito nasal advancement combined with a modified midfacial distraction. This also makes it possible to take assess the different distances of the anterior displacement of the individual parts of the skull. Pioneering in therapy is less the syndrome itself than the accompanying symptoms such as respiration and intracranial pressure. For brain release we recommended (Joos 1998) the osteoclastic procedure according to Powiertowsky (1974) within the first 6 months of life. For further treatment frontoorbito-nasal advancement and modified midface distraction seem to achieve better results in enlarging the inner nose and a more harmonious profile.
颅缝早闭的经典治疗方法基于泰西埃的基础研究。然而，从发育角度来看，建议采用改良的截骨线，如额眶鼻前移联合改良的面中部牵张成骨。这也使得评估颅骨各部分向前移位的不同距离成为可能。治疗中的开创性工作与其说是针对综合征本身，不如说是针对诸如呼吸和颅内压等伴随症状。对于脑减压，我们推荐（约斯，1998年）在出生后的前6个月内，按照波维托夫斯基（1974年）的破骨细胞程序进行操作。对于进一步的治疗，额眶鼻前移和改良的面中部牵张成骨在扩大内鼻和塑造更和谐的面部轮廓方面似乎能取得更好的效果。
