Posterior calvarial vault expansion using distraction osteogenesis
Posterior calvarial vault expansion using distraction osteogenesis
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DOI：
10.1007/s00381-008-0758-6
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发表时间：
2009-02-01
影响因子：
1.4
通讯作者：
Nishikawa, Hiroshi
中科院分区：
文献类型：
--
作者：
White, Nicholas;Evans, Martin;Nishikawa, Hiroshi
通过颅顶扩张治疗综合征型多缝颅缝早闭的颅内压升高可通过多种技术实现。我们提出了我们对这组患者进行后颅骨牵引治疗的初步经验。6例患者接受了后颅骨穹隆的牵引成骨术。平均牵引时间为28天。平均巩固期为49天。平均推进距离为24 mm。6例患者中有5例完成了牵引期，其中3例也完成了巩固期。所有病例均获得了显著的颅骨扩张和头部形状的改善。后颅骨牵引是一种比传统技术更安全、更有效的颅骨扩张方法。这些都是早期有希望的结果，如果要增加有效的巩固时间，则需要对牵引装置进行进一步的修改。
Management of raised intracranial pressure in syndromic multi-suture craniosynostosis by cranial vault expansion can be achieved by a number of techniques. We present our initial experience in treating this group of patients with posterior calvarial distraction.Six patients underwent distraction osteogenesis of their posterior calvarial vault.The mean period of distraction was 28 days. The mean consolidation period was 49 days. The mean distance of advancement was 24 mm. Five out of six patients completed their period of distraction and three of these cases also completed their period of consolidation. Significant calvarial expansion and improvement of head shape was achieved in all cases.Posterior calvarial distraction is a safe and more efficient method of calvarial expansion than conventional techniques. These are early promising results, and future modification of the distraction devices will be needed if the effective consolidation time is to be increased.