Spring mediated dynamic craniofacial reshaping -: Case report
Spring mediated dynamic craniofacial reshaping -: Case report
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DOI：
10.1080/02844319850158697
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发表时间：
1998-09-01
影响因子：
--
通讯作者：
Olsson, R
中科院分区：
文献类型：
--
作者：
Lauritzen, C;Sugawara, Y;Olsson, R
介绍一种新的技术，使用植入式弹簧作为颅面畸形矫正手术后的辅助手段。一个6个月大的男孩，患有多发性过早颅缝早闭和极端turricephaly接受手术的有限广泛性，但辅以一套留置弹簧逐渐术后颅骨整形。三个月后，在弹簧取出时，颅骨在临床和头颅X线片上均正常化。一名患有Apert综合征、重度面中部外翻、驱魔症和睡眠呼吸暂停的5岁男孩接受了单块全脸分离术，未进行复位，但术后面部前移安装了两个弹簧。术后3个月的头影测量分析显示切牙水平前移14 mm，额部至少前移16 mm。没有更多的驱魔或临床上明显的面中部隆起。睡眠研究表明，睡眠呼吸暂停症得到了显着改善，这意味着完全治愈，除了平躺睡觉时。从这些弹簧辅助颅面牵引的首次临床应用中得出结论，弹簧在许多方面对未来具有重大的希望。
A new technique of using implantable springs as an adjunct after corrective surgery for craniofacial malformations is presented. A 6-month-old boy with multiple premature craniosynostoses and extreme turricephaly underwent surgery of limited extensiveness but supplemented with a set of indwelling springs for gradual postoperative skull reshaping. At spring removal three months later the skull was normalised both clinically and on cephalogram. A 5-year-old boy with Apert syndrome, severe midface retrusion, exorbitism, and sleep apnoea underwent a monobloc full face disjunction without repositioning but was fitted with two springs for postoperative facial advancement. Three months postoperatively cephalometric analysis revealed 14 mm advancement at incisor level and at least 16 mm in the frontal region. There was no more exorbitism or clinically noticeable midface retrusion. Sleep studies revealed that the sleep apnoea was significantly improved, meaning complete cure except when sleeping flat on the back. It was concluded from these first clinical applications of spring assisted craniofacial distraction that springs hold significant promise for the future in many respects.