Qin Qi, Feng Mengzhao, Wu Han, Dong Hui
The Third Affiliated Hospital of Zhengzhou University, Department of Neurosurgery, Zhengzhou City, China.
Turk Neurosurg. 2023;33(5):731-735. doi: 10.5137/1019-5149.JTN.34722-21.3.
To compare, and to analyze the effects of fronto-orbital band anterior displacement in the operation of premature closure of coronal suture in infants.
A total of 31 infants with premature closure of coronal suture were randomly divided into two groups; experimental group (n=16) and control group (n=15). In the experimental group, the skull model was reconstructed by an imaging examination and three-dimensional (3D) printing technique before the operation, and the fronto-orbital band was anteriorly displaced during the operation to guide the surgical treatment of craniosynostosis. In the control group, the skull model was reconstructed by an imaging examination and 3D printing technique before the operation, and the fronto-orbital band was not anteriorly displaced during the operation by the same operator. The surgical effects of the two groups were compared.
During the 12-month follow up after the operation, the cephalic index of short head deformity in the experimental group was 80.7 ± 1.1, while that in the control group was 89.3 ± 4.5. There was a significant difference between the two groups.
Fronto-orbital band anterior displacement may guide the operation of craniosynostosis and significantly improve the effectiveness of surgical treatment of children with premature closure of coronal suture, which is worth popularizing in the clinical management of cases.
比较并分析额眶带前移在婴儿冠状缝早闭手术中的效果。
将31例冠状缝早闭婴儿随机分为两组，实验组（n = 16）和对照组（n = 15）。实验组在手术前通过影像学检查和三维（3D）打印技术重建颅骨模型，并在手术中进行额眶带前移以指导颅缝早闭的手术治疗。对照组在手术前同样通过影像学检查和3D打印技术重建颅骨模型，但由同一名手术者在手术中不进行额眶带前移。比较两组的手术效果。
术后12个月随访期间，实验组短头畸形的头指数为80.7±1.1，而对照组为89.3±4.5。两组间差异有统计学意义。
额眶带前移可指导颅缝早闭手术，显著提高冠状缝早闭患儿手术治疗的有效性,值得在临床病例管理中推广。
