Esparza J, Muñoz M J, Hinojosa J, Romance A, Muñoz A, Méndez M D
Department of Pediatric Neurosurgery, Hospital Infantil 12 de Octubre, Madrid, Spain.
Childs Nerv Syst. 1998 Sep;14(9):448-54. doi: 10.1007/s003810050258.
An operative series of 45 patients with anterior synostotic plagiocephaly is analyzed. In the cases of six children it was not possible to visualize synostosis of the cranial sutures on plain X-ray films or three-dimensional CT. Primary procedures were performed at an average age of 14 months with an average postoperative follow-up of 47.5 months. Children were operated on either with lateral canthal advancement (5 cases), unilateral orbital advancement with "tongue in groove" (12 cases), or bilateral orbital advancement (28 cases). Excellent results were obtained in 33/45 patients, while 8/45 children required secondary minor revisions. Of the three different surgical techniques, the results achieved by the bilateral approach were considered better than those attained with the unilateral techniques. Osteotomies of the nasal bones are recommended in the cases of older children with severe nasal deviation associated with dislocation of the nasoethmoidal complex.
对45例前斜头畸形性颅缝早闭患者的手术系列进行了分析。在6例儿童中，在普通X线片或三维CT上无法观察到颅缝的骨融合。初次手术的平均年龄为14个月，术后平均随访47.5个月。对儿童进行手术时，采用外眦推进术（5例）、单侧眼眶“舌入槽”推进术（12例）或双侧眼眶推进术（28例）。45例患者中有33例取得了优异的效果，而45例儿童中有8例需要进行二次小修正。在三种不同的手术技术中，双侧手术方法取得的效果被认为优于单侧技术。对于伴有鼻筛复合体脱位且鼻偏斜严重的大龄儿童，建议进行鼻骨截骨术。
