Mortada Hatan, Altuawijri Ikhlas, Alhumsi Taghreed
Plastic Surgery Division, Surgery Department, King Saud University Medical City (KSUMC), King Saud University, Riyadh, Saudi Arabia.
Department of Plastic Surgery & Burn Unit, King Saud Medical City, Riyadh, Saudi Arabia.
Maxillofac Plast Reconstr Surg. 2022 Jan 5;44(1):2. doi: 10.1186/s40902-021-00332-4.
Craniosynostosis is known as premature closure of one or more of the cranial sutures. Anterior craniosynostosis involves anterior plagiocephaly and trigonocephaly. One of the issues in anterior craniosynostosis skull reshaping is maintaining an aesthetically pleasing forehead curve. Therefore, in this article, we demonstrate our novel technique to use a single-piece bone flap for cranial reshaping of the anterior mold in patients diagnosed with anterior craniosynostosis. A retrospective record review of patients who underwent single piece bone flap cranial reshaping for correction of unicoronal synostosis (UCS) and metopic synostosis (MS) at an Academic Institute in Riyadh, Saudi Arabia, between 2018 and 2020, was conducted.
Six non-syndromic consecutive patients were included. Three of the patients had MS. The mean age at surgery was 11.16 months (range, 6-19 months). The average OR time was 315 min (range, 263-368 min). The average intraoperative blood loss was 225 ml (range, 100-400 ml). All patients had achieved acceptable functional and aesthetic results.
Our novel technique is an innovative and efficient reconstructive technique to simultaneously address MS and UCS and minimize intraoperative bleeding and surgery time. However, more studies with more cases are required.
颅缝早闭是指一条或多条颅骨缝过早闭合。前颅缝早闭包括前斜头畸形和三角头畸形。前颅缝早闭颅骨重塑的问题之一是维持美观的前额曲线。因此，在本文中，我们展示了一种新技术，即使用单片骨瓣对诊断为前颅缝早闭的患者进行前颅模型的颅骨重塑。对2018年至2020年期间在沙特阿拉伯利雅得一所学术机构接受单片骨瓣颅骨重塑以矫正单冠缝早闭（UCS）和额缝早闭（MS）的患者进行了回顾性记录审查。
纳入6例非综合征性连续患者。其中3例患者患有MS。手术时的平均年龄为11.16个月（范围6 - 19个月）。平均手术时间为315分钟（范围263 - 368分钟）。术中平均失血量为225毫升（范围100 - 400毫升）。所有患者均取得了可接受的功能和美学效果。
我们的新技术是一种创新且高效的重建技术，可同时解决MS和UCS问题，并减少术中出血和手术时间。然而，需要更多病例的研究。
