Albin R E, Hendee R W, O'Donnell R S, Majure J A
Plast Reconstr Surg. 1985 Aug;76(2):202-11.
Thirty-three consecutive patients with metopic synostosis treated between January of 1980 and June of 1984 are presented. All patients underwent craniofacial reconstruction by an interdisciplinary team utilizing a detailed remodeling of the supraorbital rims and forehead. Advantages of the current modifications are discussed, as well as an analysis of the results. We believe this represents a significant advance over previous methods not only because of the superior cosmetic results achieved, but also because of its safety and reproducibility. Reoperation rate was less than 10 percent overall and was necessary only in patients with complex cranial vault abnormalities. Mean follow-up was 22.8 months, with no deaths, infections, or damage to visual or cerebral function. Postoperative head circumference demonstrated an immediate increase followed by a normal growth curve.
本文介绍了1980年1月至1984年6月期间连续收治的33例冠状缝早闭患者。所有患者均由一个跨学科团队进行颅面重建，采用了眶上缘和前额的详细重塑方法。文中讨论了当前改良方法的优点，并对结果进行了分析。我们认为，这相对于以前的方法有了显著进步，不仅因为取得了更好的美容效果，还因其安全性和可重复性。总体再手术率低于10%，仅在伴有复杂颅穹窿异常的患者中需要再次手术。平均随访22.8个月，无死亡、感染或视觉及脑功能损害。术后头围立即增加，随后呈正常生长曲线。
