Chen Joanna, French Mackenzie M, Holdaway Matthew G B, Jolley Tessa M, Bautista Catherine H, Collar Yagas Lucia, Gociman Barbu
From the Division of Plastic and Reconstructive Surgery, Department of Surgery, School of Medicine, University of Utah, Salt Lake City, Utah.
Plast Reconstr Surg Glob Open. 2024 Jun 7;12(6):e5893. doi: 10.1097/GOX.0000000000005893. eCollection 2024 Jun.
Frontosphenoidal craniosynostosis (FSC) is a rare premature fusion of the frontosphenoidal suture that results in anterior plagiocephaly. When associated with severe cranial deformity, surgical treatment is beneficial. All previously reported cases of FSC correction have utilized fronto-orbital remodeling and advancement to achieve improved anatomy and increased intracranial volume. For patients with isolated synostosis deformities, we believe that distraction osteogenesis can be a viable option, with the additional benefit of quicker operating time, shorter hospital stays, and less irregularity in final head contour. This case illustrates the feasibility of using distraction osteogenesis in the management of FSC.
额蝶颅缝早闭(FSC)是一种罕见的额蝶缝过早融合,可导致前斜头畸形。当伴有严重颅骨畸形时,手术治疗有益。所有先前报道的FSC矫正病例均采用额眶重塑和前移来改善解剖结构并增加颅内容积。对于孤立性颅缝早闭畸形患者,我们认为牵张成骨可能是一种可行的选择,还具有手术时间更快、住院时间更短以及最终头部轮廓不规则性更小的额外优势。本病例说明了在FSC治疗中使用牵张成骨的可行性。