临床小儿外科杂志2024，Vol.23Issue(2)：130-134,5.DOI:10.3760/cma.j.cn101785-202312004-006
以健侧为镜像治疗单侧冠状缝早闭症疗效分析
Efficacy of unilateral coronal craniostenosis using healthy side as a mirror image
摘要
Abstract
Objective To explore the clinical features and surgical approaches of unilateral coronal cra-niostenosis in infants.Methods From March 2019 to March 2023,the relevant clinical data were retrospec-tively reviewed for 27 infants aged over 3 months with unilateral coronary craniostenosis at Hunan Children's Hospital.There were varying degrees of anterior plagiocephaly in skull appearance.A definite diagnosis was made by plain cranial/facial computed tomography(CT)plus three-dimensional reconstruction.Bone flap was designed by three-dimensional printing.Surgical protocols were formulated by the characteristics,degree and age of cranial deformity.Healthy side was utilized as a mirror image for orbital remodeling at affected side.And formed orbital bone flap was employed as a baseline for fitting frontal bone flap into a"new frontal part".Ante-rior oblique deformity improved with the changes of cranial volume.Results The follow-up period was 28.8(3-48)month.Bilateral forehead and bilateral orbit were located in the same coronal plane.Development of anterior plagiocephaly and frontal lobe at affected side improved markedly as compared with pre-operation.None of them was re-operated.Conclusions In infants aged over 3 months with unilateral coronal craniostenosis,skull remodeling is efficacious using affected orbit with healthy side as a mirror image and frontal bone flap with orbital bone flap as a baseline into a"new forehead".关键词
颅缝早闭/冠状缝早闭/外科手术/治疗结果/儿童Key words
Craniosynostoses/Coronal Suture Premature Closure/Surgical Procedures,Operative/Treatment Outcome/Child引用本文复制引用
吴水华,Dae-jung Yang..以健侧为镜像治疗单侧冠状缝早闭症疗效分析[J].临床小儿外科杂志,2024,23(2):130-134,5.基金项目
湖南省出生缺陷协同防治科技重大专项(2019SK1010)Major Scientific & Technological Project for Collaborative Prevention & Control of Birth Defects in Hunan Province(2019SK1010) （2019SK1010）
