Kameda Masahiro, Tokuyama Eijiro, Senoo Takaya, Date Isao
Departments of Neurological Surgery and.
Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Neurosurg Focus Video. 2021 Apr 1;4(2):V17. doi: 10.3171/2021.1.FOCVID20116. eCollection 2021 Apr.
The multidirectional cranial distraction osteogenesis (MCDO) procedure, which uses an external distraction device, enables tailor-made distraction in an arbitrary direction, eliminating the disadvantage of unidirectional distraction with an internal distraction device. Multiple-suture synostosis cases for syndromic craniosynostosis patients are better indicated for this procedure. Here the authors describe seven cases in which the MCDO procedure was used to treat syndromic craniosynostosis. In each case, the MCDO procedure and postoperative distraction, with reference to midsagittal vector analysis of normal morphology in Japanese children, resulted in morphological improvement. The video can be found here: https://vimeo.com/519006555.
多向颅骨牵张成骨术（MCDO）使用外部牵张装置，能够在任意方向进行定制牵张，消除了使用内部牵张装置进行单向牵张的缺点。综合征性颅缝早闭患者的多条缝融合病例更适合该手术。在此，作者描述了7例使用MCDO手术治疗综合征性颅缝早闭的病例。在每例病例中，参照日本儿童正常形态的矢状面矢量分析，MCDO手术及术后牵张均使形态得到改善。视频可在此处查看：https://vimeo.com/519006555 。
