Department of Burns and Plastic Surgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
Department of Neurosurgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
Neurol India. 2023 May-Jun;71(3):527-530. doi: 10.4103/0028-3886.378708.
Various surgical techniques for cranial reconstruction of patients with bicoronal synostosis have been suggested. The outcome is, however, still often suboptimal.
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.
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.
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.
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。
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。
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。
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。
