印度双顶骨联合同化症采用 Spring-Assisted 颅骨成形术的介绍：首例病例描述及我们的学习经验。
Introduction of Spring-Assisted Cranioplasty for Bicoronal Synotosis in India: Description of First Case and Our Learning Experience.
机构信息
Department of Burns and Plastic Surgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
Department of Neurosurgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
出版信息
Neurol India. 2023 May-Jun;71(3):527-530. doi: 10.4103/0028-3886.378708.
BACKGROUND
Various surgical techniques for cranial reconstruction of patients with bicoronal synostosis have been suggested. The outcome is, however, still often suboptimal.
METHODS
In a 5-month-old child with apert syndrome, following a craniotomy incision, lambdoid suturotomy was done bilaterally. Two springs were implanted bilaterally over the lambdoid sutures. Cephalic index was obtained from three-dimensional computed tomography scans, and photographs were analyzed for aesthetic evaluation.
RESULT
The preoperative calvarial shape was hyperbrachycephalic. The CI improved from 92 to 83 units. Duration of surgery was 1 h 45 min, blood loss was 30 mL, and total hospital stay was 3 days. No major complications were observed. Spring removal was done at 6 months postoperatively and frontoorbital advancement performed.
CONCLUSION
Spring-assisted cranioplasty for bicoronal synostosis is a safe and elegant technique, is less invasive than many other cranioplasties, and results in marked improvement in the calvarial shape.
背景
已经提出了各种用于颅缝早闭患者颅盖重建的外科技术。然而，其结果往往仍不理想。
方法
在一例患有尖颅并指畸形综合征的 5 月龄婴儿中，在颅骨切开术后，双侧行枕骨鳞缝切开术。在枕骨鳞缝上双侧植入两个弹簧。通过三维 CT 扫描获得头指数，并对照片进行美学评估。
结果
术前头颅形状为短头畸形。CI 从 92 单位改善至 83 单位。手术时间为 1 小时 45 分钟，失血量为 30 毫升，总住院时间为 3 天。未观察到重大并发症。术后 6 个月时取出弹簧，并进行了额眶前移术。
结论
弹簧辅助颅缝早闭矫正术是一种安全且优雅的技术，比许多其他颅骨成形术的侵入性更小，可显著改善头颅形状。
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