Kaiser G
Z Kinderchir. 1982 Mar;35(3):83-5. doi: 10.1055/s-2008-1059907.
Out of 10 infants with uni- or bilateral craniostenosis of the coronal suture 5 had a craniectomy of the involved suture and 5 a lateral canthal advancement of the supraorbital margin. On the basis of the parents' opinion, of the clinical assessment of 7 different criteria and of the evaluation of the pre- and postoperative x-rays (tracings of the outlines of the neurocranium, orbita and base of the skull), the results of lateral canthal advancement are superior to those of a simple craniectomy. Therefore, lateral canthal advancement is indicated in any severe form of craniostenosis of the coronal suture. However, a few cases with severe scoliosis of the head and unilateral underdevelopment of the face are still a therapeutic problem.
在10例患有冠状缝单侧或双侧颅骨狭窄的婴儿中,5例行受累缝线颅骨切除术,5例行眶上缘外眦推进术。根据家长意见、7项不同标准的临床评估以及术前和术后X线片(神经颅骨、眼眶和颅底轮廓的描记)评估,外眦推进术的效果优于单纯颅骨切除术。因此,对于任何严重形式的冠状缝颅骨狭窄,均应行外眦推进术。然而,少数头部严重脊柱侧弯和面部单侧发育不全的病例仍是治疗难题。