同时多矢量牵张术治疗颅缝闭锁综合征

Peter J. Anderson, Eugene Tan, David J. David
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引用次数: 22

摘要

综合征性颅缝紧闭是颅面外科常用的治疗方法。常见综合征(Apert、Pfeiffer和Crouzon)的特征均包括颅缝闭合、中脸发育不全和眼球突出。对患有这些综合征的儿童进行颅面治疗直至成年,可能需要进行一些手术干预,以允许大脑发育,提供足够的气道,防止角膜溃疡和提供功能性牙闭塞。我们单位对这些不同优先级的时间干预的管理是由既定的协议决定的。我们报告了两例12岁男孩和16岁女孩同时进行面部中部(Le Fort III)和额眶截骨术,随后进行牵张,但使用不同的载体推进面部上部和中部区域(达到所有治疗目标)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Simultaneous multiple vector distraction for craniosynostosis syndromes

Syndromic craniosynostoses are commonly treated conditions in craniofacial units. The features of the common syndromes (Apert, Pfeiffer and Crouzon) all include craniosynostosis, mid-face hypoplasia and ocular proptosis. The craniofacial management of a child with these syndromes through to adulthood may require a number of surgical interventions to allow brain development, to provide an adequate airway, to prevent corneal ulceration and to provide a functional dental occlusion. The management of these different priorities into timed interventions in our unit is determined by established protocols.

We report two cases that underwent simultaneous mid-face (Le Fort III) and fronto-orbital osteotomies followed by distraction but using different vectors to advance the upper and mid-face regions (to achieve all treatment goals) in a 12-year-old boy and a 16-year-old girl.

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