Donauer E, Bernardy M, Neuenfeldt D
Department of Neurosurgery, Saarland University Medical School, Homburg/Saar, Federal Republic of Germany.
Acta Neurochir (Wien). 1993;120(3-4):126-31. doi: 10.1007/BF02112030.
The "T-Bone Plastique", which is presented in this paper, allows a surgical correction even of extreme cases of brachy-turricephaly together with malformations of the occipital region in one operative session. Brachy-turricephaly is characterized by abnormal vertical height of the skull and a shortening of its anterior-posterior length, frequently combined with malformations of the occipital region. Resection of the prematurely closed coronal suture, bi-parietal trepanations with 90 degrees rotation and side-exchange of the parietal bone flaps, double transverse trepanation of the occipital bone and outward bending and shifting of the bone fragments enable a bony remodeling and normalization of the deformed skull. Using this operative technique in three children we achieved a significant improvement of the skull form with an aesthetically pleasing result, without any neurologic sequelae and with normal development of the children during follow-up.
本文介绍的“T型骨整形术”能够在一次手术中对甚至极其严重的短头畸形合并枕部畸形病例进行手术矫正。短头畸形的特征是颅骨垂直高度异常以及前后长度缩短，常合并枕部畸形。切除过早闭合的冠状缝、将双侧顶骨钻孔并旋转90度以及交换顶骨瓣的位置、对枕骨进行双侧横向钻孔以及将骨碎片向外弯曲和移位，可实现对变形颅骨的骨性重塑和正常化。在三个儿童中使用这种手术技术，我们使颅骨形态得到了显著改善，获得了美观的效果，没有任何神经后遗症，且在随访期间儿童发育正常。
