Radical forehead remodeling for craniostenosis.
Radical forehead remodeling for craniostenosis.
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针对颅骨狭窄的彻底前额重塑。
DOI：
10.1097/00006534-197806000-00001
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发表时间：
1978
影响因子：
3.6
通讯作者：
D. Marchac
中科院分区：
文献类型：
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作者：
D. Marchac
正常的额头有两个部分，形状各异：（1）下部（对应眶上缘和眉间区域）与鼻子成陡角； (2) 上部，轻轻向后倾斜。为了在影响额区的颅骨狭窄的情况下重现这种正常的解剖结构，我们发现有必要动员和重塑眶上骨条，并将一块合适的颅骨转移到一块以制作新的上额头。自1973年以来，我们用这种方法治疗了18例氧头畸形患者，取得了良好的效果。我们还对颅骨狭窄的婴儿进行了手术，试图同时解决功能和美观问题。在面颅狭窄中，颅底存在显着的畸形，但额叶单独前移两厘米已经产生了令人满意的早期结果。
A normal forehead has two parts, shaped differently: (1) the lower part (corresponding to the supraorbital rim and glabellar area) set at a steep angle to the nose; (2) the upper part, sloping gently backward. To reproduce this normal anatomy in cases of cranostenosis affecting the frontal area, we found it essential to mobilize and reshape a supraorbital bar of bone and to transfer a suitable piece of the cranial vault in one piece to make a new upper forehead. By this method we have treated 18 patients with oxycephaly since 1973, with good results. We have also operated on babies with craniostenosis to try to solve simultaneously the functional and the cosmetic problems. In faciocraniostenosis, there are dominant malformations at the base of the skull, but an isolated frontal advancement of two cm has produced gratifying early results.