Lauritzen C, Sugawara Y, Kocabalkan O, Olsson R
Department of Plastic Surgery, University Hospital, Göteborg, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1998 Sep;32(3):331-8. doi: 10.1080/02844319850158697.
A new technique of using implantable springs as an adjunct after corrective surgery for craniofacial malformations is presented. A 6-month-old boy with multiple premature craniosynostoses and extreme turricephaly underwent surgery of limited extensiveness but supplemented with a set of indwelling springs for gradual postoperative skull reshaping. At spring removal three months later the skull was normalised both clinically and on cephalogram. A 5-year-old boy with Apert syndrome, severe midface retrusion, exorbitism, and sleep apnoea underwent a monobloc full face disjunction without repositioning, but was fitted with two springs for postoperative facial advancement. Three months postoperatively cephalometric analysis revealed 14 mm advancement at incisor level and at least 16 mm in the frontal region. There was no more exorbitism or clinically noticeable midface retrusion. Sleep studies revealed that the sleep apnoea was significantly improved, meaning complete cure except when sleeping flat on the back. It was concluded from these first clinical applications of spring assisted craniofacial distraction that springs hold significant promise for the future in many respects.
本文介绍了一种在颅面畸形矫正手术后使用可植入弹簧作为辅助手段的新技术。一名6个月大的男孩患有多处颅缝早闭和严重的塔头畸形，接受了范围有限的手术，但术后辅以一组留置弹簧进行颅骨逐渐重塑。三个月后取出弹簧时，颅骨在临床和头颅X线片上均恢复正常。一名5岁的男孩患有Apert综合征，严重的面中部后缩、眼球突出和睡眠呼吸暂停，接受了整块全颜面分离术但未进行复位，而是安装了两个弹簧用于术后面部前移。术后三个月的头影测量分析显示，切牙水平前移14毫米，额部至少前移16毫米。眼球突出不再存在，面中部后缩在临床上也不再明显。睡眠研究表明，睡眠呼吸暂停得到显著改善，意味着除仰卧睡眠外已完全治愈。从弹簧辅助颅面牵张的这些首次临床应用得出的结论是，弹簧在许多方面对未来具有重大前景。
