Department of Plastic and Reconstructive Surgery, Nagasaki University Hospital, Nagasaki.
Department of Plastic and Reconstructive Surgery, Oitaken Kouseiren Tsurumi Hospital, Oita, Japan.
J Craniofac Surg. 2022;33(8):e880-e883. doi: 10.1097/SCS.0000000000008828. Epub 2022 Aug 10.
Unilateral lambdoid synostosis is the rarest form of craniosynostosis. Surgical correction is technically challenging from a morphological standpoint and is used to decompress intracranial pressure. Herein, the authors present a "rotational advancement bone flap" technique for the repair of posterior plagiocephaly. A bicoronal skin incision was performed, to expose the occipital region. The rotational advancement bone flap was designed to hinge off the nonsynostotic side, and it was set up to include an occipital protrusion on the normal side. On the premature side, an advancement bone flap was set up to include the flattened and deformed occipital bone. A titanium cranial distractor, which was attached between the bone flap and the anterior bone. An absorbable plate, which would later become a hinge due to the movement of the bone flap, was attached to the area for reinforcement. The authors technique was able to decompress intracranial pressure with satisfactory esthetic outcomes.
单侧矢状缝早闭是颅缝早闭中最罕见的一种类型。从形态学角度来看，手术矫正具有一定的技术挑战性，主要用于缓解颅内压。本文作者介绍了一种用于修复后颅面偏斜的“旋转推进骨瓣”技术。行冠状头皮切口，暴露枕部。旋转推进骨瓣设计为在非融合侧铰链，在正常侧设置一个枕部突出。在早闭侧，设置一个推进骨瓣以包括扁平变形的枕骨。钛制颅骨牵开器连接在骨瓣和前颅骨之间。将可吸收板固定在用于加强的区域，该可吸收板将由于骨瓣的运动而成为铰链。作者的技术能够通过满意的美学效果来降低颅内压。
