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[标准化枕骨前移。治疗枕骨缝早闭的一种新方法]

[Standardized occipital advancement. A new method for therapy of lambda suture synostosis].

作者信息

Zöller J E

机构信息

Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Universität zu Köln.

出版信息

Mund Kiefer Gesichtschir. 1998 May;2 Suppl 1:S75-8. doi: 10.1007/PL00014486.

Abstract

Lambdoid synostosis can manifest unilaterally, bilaterally or in combination with other craniosynostoses. Using the concept of fronto-orbital advancement we developed occipital advancement in order to correct unilateral or bilateral lambdoid synostosis. The process involves striped transversal osteotomy, removal, remodelling and advancement of the occipital region. It allows precise, reproducible and predictable positioning of the segments. Artificial sutures are created as a result of the osteotomy. The remodelling leads to a well-proportioned skull shape and advancement to an increase in the intracranial volume. This article presents the operative method and the results of 14 patients.

摘要

人字缝早闭可单侧、双侧出现,或与其他颅缝早闭合并出现。基于额眶前移的理念,我们开发了枕骨前移术来矫正单侧或双侧人字缝早闭。该手术过程包括枕骨区域的条状横向截骨、切除、重塑和前移。它能实现骨段精确、可重复且可预测的定位。截骨会形成人工骨缝。重塑可使颅骨形状比例协调,前移则可增加颅内容积。本文介绍了该手术方法及14例患者的手术结果。

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