Wu Shuihua,Dae-jung Yang.Efficacy of unilateral coronal craniostenosis using healthy side as a mirror image[J].Journal of Clinical Pediatric Surgery,,():130-134.[doi:10.3760/cma.j.cn101785-202312004-006]
Efficacy of unilateral coronal craniostenosis using healthy side as a mirror image
- Keywords:
- Craniosynostoses; Coronal Suture Premature Closure; Surgical Procedures; Operative; Treatment Outcome; Child
- Abstract:
- Objective To explore the clinical features and surgical approaches of unilateral coronal craniostenosis in infants.Methods From March 2019 to March 2023,the relevant clinical data were retrospectively 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".Anterior 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".
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Memo
收稿日期:2023-12-2。
基金项目:湖南省出生缺陷协同防治科技重大专项(2019SK1010)
通讯作者:梁大中,Email:pt6226@sehan.ac.kr